Vincent B Longobardo Dpm | |
19 Miracle Ln, Suite 200, Crossville, TN 38555 | |
(931) 707-8352 | |
(931) 707-8053 |
Full Name | Vincent B Longobardo Dpm |
---|---|
Type | Facility |
Speciality | Podiatrist - Primary Podiatric Medicine |
Location | 19 Miracle Ln, Crossville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225025083 | NPI | - | NPPES |
3352893 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213EP1101X | Podiatrist - Primary Podiatric Medicine | DPM0000000520 (Tennessee) | Primary |
Provider Name | Vincent B Longobardo |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1043207988 PECOS PAC ID: 7719959287 Enrollment ID: I20040806000573 |
Mailing Address | Practice Location Address |
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Vincent B Longobardo Dpm Po Box 8, Crossville, TN 38557-0008 Ph: (931) 707-8352 | Vincent B Longobardo Dpm 19 Miracle Ln, Suite 200, Crossville, TN 38555 Ph: (931) 707-8352 |
Vincent B Longobardo, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 19 Miracle Ln, Suite 200, Crossville, TN 38555 Phone: 931-707-8352 Fax: 931-707-8053 | |
Cumberland Podiatric Surgeons Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 49 Cleveland St Ste 320, Crossville, TN 38555 Phone: 931-707-1170 Fax: 931-210-5745 | |
Dr. David E Haverly, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 49 Cleveland St Ste 320, Crossville, TN 38555 Phone: 931-787-1170 Fax: 931-210-5745 | |
Tennessee Foot & Ankle Surgeons Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 320 S Main St, Crossville, TN 38555 Phone: 931-787-1170 Fax: 931-787-1370 |