Victor D Long, CRNA, MS | |
415 W Gray St, Norman, OK 73069-7117 | |
(405) 364-6182 | |
(405) 364-5379 |
Full Name | Victor D Long |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 415 W Gray St, Norman, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609801034 | NPI | - | NPPES |
100785020A | Medicaid | OK | |
430067242 | Other | OK | RR MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R0033797 (Oklahoma) | Primary |
Entity Name | Victor D Long Crna Ms Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049046 PECOS PAC ID: 9436241775 Enrollment ID: O20070816000578 |
Mailing Address | Practice Location Address |
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Victor D Long, CRNA, MS 415 W Gray St, Norman, OK 73069-7117 Ph: (405) 364-6182 | Victor D Long, CRNA, MS 415 W Gray St, Norman, OK 73069-7117 Ph: (405) 364-6182 |
Jennifer Leigh Fleck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd, Suite 100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Darren Todd Gose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd, #100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Randy A Rogers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1125 N Porter Ave Ste 301, Norman, OK 73071 Phone: 405-307-1000 | |
Kendall Hurley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd Ste 101, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Deanne Lynn Givens, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3650 W Rock Creek Rd, #100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Jason Ray Falconer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd, Suite 100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Bruce E Kennedy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 W Gray St, Norman, OK 73069 Phone: 405-364-6182 Fax: 405-364-5379 |