| Amanda J Long, AUD | |
|
600 Carlisle St Ste A, Hanover, PA 17331-5100 | |
| (717) 632-5558 | |
| (717) 632-7493 |
| Full Name | Amanda J Long |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 600 Carlisle St Ste A, Hanover, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457442386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AT001154L (Pennsylvania) | Primary |
| Provider Name | Jmdlad Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487971768 PECOS PAC ID: 8820288905 Enrollment ID: O20220105000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda J Long, AUD 600 Carlisle St Ste A, Hanover, PA 17331-5100 Ph: (717) 632-5558 | Amanda J Long, AUD 600 Carlisle St Ste A, Hanover, PA 17331-5100 Ph: (717) 632-5558 |
Mr. Adib F. Geadah, AUDIOLOGIST Audiologist Medicare: Medicare Enrolled Practice Location: 195 Stock St Ste 112, Hanover, PA 17331 Phone: 717-698-1541 | |
Mrs. Carrie Lynn Boyd, MA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 250 Fame Ave Ste 201, Hanover, PA 17331 Phone: 717-633-9229 Fax: 717-633-5552 | |
Dr. Anthony Wayne Fowler, AU.D Audiologist Medicare: Accepting Medicare Assignments Practice Location: 250 Fame Ave, Suite 222, Hanover, PA 17331 Phone: 717-646-9300 Fax: 717-646-9322 | |
Keystone Hearing Institute Audiologist Medicare: Not Enrolled in Medicare Practice Location: 250 Fame Ave, Suite 222, Hanover, PA 17331 Phone: 717-646-9300 Fax: 717-646-9322 |