Ian Longue, is a
Adult Companion based in Fair Oaks, California. Ian Longue is licensed to practice in NU (license number ) and his current practice location is
5007 Kenneth Ave, Fair Oaks, California. He can be reached at his office (for appointments etc.) via phone at
(530) 304-4638.
NPI number for Ian Longue is 1679209076 and his current mailing address is 3840 Rosin Ct Ste 240, Sacramento, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679209076.
Healthcare Provider's Profile
| Full Name | Ian Longue |
|---|
| Gender | Male |
|---|
| Speciality | Adult Companion |
|---|
| Location | 5007 Kenneth Ave, Fair Oaks, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679209076
- Provider Enumeration Date: 07/27/2022
- Last Update Date: 04/24/2025
Medical Identifiers
Medical identifiers for Ian Longue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679209076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (NU) | Secondary |
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 372600000X | Adult Companion | (NU) | Primary |
| 172V00000X | Community Health Worker | (NU) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (NU) | 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. Ian Longue 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 |
Ian Longue, 3840 Rosin Ct Ste 240, Sacramento, CA 95834-1645 Ph: (530) 487-2656 | Ian Longue, 5007 Kenneth Ave, Fair Oaks, CA 95628-5329 Ph: (530) 304-4638 |
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