| Andrew James Long, DO | |
|
419 S Coral St, Kalkaska, MI 49646-2503 | |
| (231) 258-7777 | |
| (231) 935-8099 |
| Full Name | Andrew James Long |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 419 S Coral St, Kalkaska, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558554808 | NPI | - | NPPES |
| 1558554808 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101016386 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Munson Home Care | Traverse city, MI | Home health agency |
| Kalkaska Memorial Health Center | Kalkaska, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kalkaska Memorial Health Center | 3577536002 | 50 |
| Entity Name | Kalkaska Memorial Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013183060 PECOS PAC ID: 3577536002 Enrollment ID: O20040813000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew James Long, DO 419 S Coral St, Kalkaska, MI 49646-2503 Ph: (231) 258-7777 | Andrew James Long, DO 419 S Coral St, Kalkaska, MI 49646-2503 Ph: (231) 258-7777 |
Richard E Hodgman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7777 | |
Marc A Frick, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7777 Fax: 231-258-7786 | |
Gary R Ziegler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7777 | |
Jeremy K Holmes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7777 | |
Dr. Natalie Jean Okerson-sparks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7777 |