Michael Long, CRNA | |
7150 Clearvista Dr, Indianapolis, IN 46256-1695 | |
(317) 621-5890 | |
Not Available |
Full Name | Michael Long |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 7150 Clearvista Dr, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740256882 | NPI | - | NPPES |
300008953 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 523585 (New York) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 28238168A (Indiana) | Primary |
Entity Name | Community Physicians Of Indiana Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
Mailing Address | Practice Location Address |
---|---|
Michael Long, CRNA 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: () - | Michael Long, CRNA 7150 Clearvista Dr, Indianapolis, IN 46256-1695 Ph: (317) 621-5890 |
Robert Beyerlein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 Fax: 317-621-7884 | |
Kyley Struck, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 | |
Samantha L Dugan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-274-0275 | |
John Patrick Haltom, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-274-0275 | |
Christy Mccrea, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8051 S Emerson Ave Ste 150, Indianapolis, IN 46237 Phone: 317-865-2955 Fax: 317-865-2954 | |
Dr. Sydney Ann Bramlett, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 | |
Michelo Andrew Chikonka, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 Fax: 317-577-4200 |