| Dr Graham W Long, MD | |
|
525 E Big Beaver Rd, Suite 125, Troy, MI 48083-1364 | |
| (248) 688-9860 | |
| (248) 688-9861 |
| Full Name | Dr Graham W Long |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 38 Years |
| Location | 525 E Big Beaver Rd, Troy, 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 |
|---|---|---|---|
| 1932179132 | NPI | - | NPPES |
| 104647160 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 4301051392 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vascular And Endovascular Associates Plc | 2961479522 | 7 |
| Beaumont Medical Group- Specialty Services | 7214299866 | 804 |
| Entity Name | Vascular & Endovascular Associates Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083790042 PECOS PAC ID: 2961479522 Enrollment ID: O20040913001313 |
| Entity Name | Beaumont Medical Group- Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
| Entity Name | Healox Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376159491 PECOS PAC ID: 0648685594 Enrollment ID: O20210226001427 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Graham W Long, MD 525 E Big Beaver Rd, Suite 125, Troy, MI 48083-1364 Ph: (248) 688-9860 | Dr Graham W Long, MD 525 E Big Beaver Rd, Suite 125, Troy, MI 48083-1364 Ph: (248) 688-9860 |
Dr. Danielle Deluca-pytell, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3290 W Big Beaver Rd Ste 412, Troy, MI 48084 Phone: 248-885-8858 | |
Ashraf Elzanie, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1080 Kirts Blvd Ste 700, Troy, MI 48084 Phone: 248-362-2300 Fax: 248-362-5272 | |
Dr. Mark S Friedland Md Pc, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 44199 Dequindre Rd, Ste 623, Troy, MI 48085 Phone: 248-828-5707 Fax: 248-828-5702 | |
Jonathan William Lezotte, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 44199 Dequindre Rd Ste 315, Troy, MI 48085 Phone: 248-964-1170 Fax: 248-964-1188 | |
Dr. Corinne Dianne Costellic, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 44199 Dequindre Rd Ste 612, Troy, MI 48085 Phone: 248-964-5170 Fax: 248-964-5175 | |
Inad Naim Janineh, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 5600 Rochester Rd, Troy, MI 48085 Phone: 586-263-2300 Fax: 586-263-2614 | |
Mrs. Anita Lucia Antoniolli, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4967 Crooks Rd Ste 210, Troy, MI 48098 Phone: 248-687-7300 |