Dr Douglas M Delong, MD | |
1 Atwell Rd, Cooperstown, NY 13326-1301 | |
(607) 547-3967 | |
(607) 547-3259 |
Full Name | Dr Douglas M Delong |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1 Atwell Rd, Cooperstown, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679534390 | NPI | - | NPPES |
02064886 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 143872 (New York) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | 143872 (New York) | Secondary |
Entity Name | Mary Imogene Bassett Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas M Delong, MD Po Box 725, Cooperstown, NY 13326-0725 Ph: (607) 547-3967 | Dr Douglas M Delong, MD 1 Atwell Rd, Cooperstown, NY 13326-1301 Ph: (607) 547-3967 |
Marguerite Duplessis, PA-C Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3153 Fax: 607-547-6539 | |
Dr. Ann K Eldred, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3350 Fax: 607-547-6989 | |
Dr. Donald A Raddatz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3284 Fax: 607-547-4648 | |
Abigail Marie Pichel Quintos, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3283 Fax: 607-547-6906 | |
Dr. Jerel M Zoltick, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3181 Fax: 607-547-6857 | |
Dr. Brenda J Davies-wait, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3259 Fax: 607-547-3259 | |
Dr. Eric N Bravin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3336 Fax: 607-547-6541 |