Mrs Beverly Jean Long, CRNA, MS is a
Nurse Anesthetist, Certified Registered based in Republic, Missouri. Mrs Beverly Jean Long is licensed to practice in Missouri (license number 122344) and her current practice location is
678 E Elm St, Republic, Missouri. She can be reached at her office (for appointments etc.) via phone at
(417) 732-6894.
NPI number for Mrs Beverly Jean Long is 1356370985 and her current mailing address is 678 E Elm St, Republic, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356370985.
Provider's Profile
Full Name | Mrs Beverly Jean Long |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 678 E Elm St, Republic, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356370985
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Beverly Jean Long such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356370985 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 122344 (Missouri) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 0024166617 (Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 51993 (Maine) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 172980 (APN 4715) (Colorado) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Beverly Jean Long is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Beverly Jean Long, CRNA, MS 678 E Elm St, Republic, MO 65738-1500 Ph: (417) 732-6894 | Mrs Beverly Jean Long, CRNA, MS 678 E Elm St, Republic, MO 65738-1500 Ph: (417) 732-6894 |
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