Michael A Long, MA, LMFT | |
2955 N Hwy 97 # 206, Bend, OR 97703-7559 | |
(541) 213-7755 | |
(866) 497-3686 |
Full Name | Michael A Long |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 2955 N Hwy 97 # 206, Bend, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558728485 | NPI | - | NPPES |
500698687 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | T1425 (Oregon) | Primary |
Entity Name | Mosaic Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083633184 PECOS PAC ID: 5395653497 Enrollment ID: O20040528001371 |
Mailing Address | Practice Location Address |
---|---|
Michael A Long, MA, LMFT Po Box 1322, Bend, OR 97709-1322 Ph: (541) 213-7755 | Michael A Long, MA, LMFT 2955 N Hwy 97 # 206, Bend, OR 97703-7559 Ph: (541) 213-7755 |
Jill Wheeler, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 745 Nw Mt Washington Dr Ste 307, Bend, OR 97703 Phone: 541-241-0741 | |
Dr. Randi Hennigan, PHD, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17 Nw Hawthorne Ave Ste 2, Bend, OR 97703 Phone: 541-719-8855 | |
Joella Long, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 780 Nw York Dr, Suite 204, Bend, OR 97703 Phone: 541-639-2986 | |
Ms. Kristin Dawn James, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2577 Ne Courtney Dr, Bend, OR 97701 Phone: 541-322-7563 | |
Katie Diane Steele, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 550 Sw Industrial Way, Suite 120, Bend, OR 97702 Phone: 541-729-3337 | |
Mrs. Mary Christine Hoisington, M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2577 Ne Courtney Dr, Bend, OR 97701 Phone: 541-322-7500 Fax: 541-322-7565 | |
Kathleen Shipley, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 377 Sw Century Dr Ste 208, Bend, OR 97702 Phone: 541-897-7545 |