Dr Jack Wiley Delong, MD - Otolaryngology in Sarasota, FL

Dr Jack Wiley Delong, MD is a Otolaryngology physician based in Sarasota, Florida. Dr Jack Wiley Delong is licensed to practice in Michigan (license number 4301029955) and his current practice location is 1900 Brother Geenen Way, Sarasota, Florida. He can be reached at his office (for appointments etc.) via phone at (941) 556-3220.

NPI number for Dr Jack Wiley Delong is 1356349039 and his current mailing address is 111 W 24th St, Holland, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356349039.

Contact Information

Dr Jack Wiley Delong, MD
1900 Brother Geenen Way,
Sarasota, FL 34236-7102
(941) 556-3220
(941) 955-8214

Map and Direction




Physician's Profile

Full NameDr Jack Wiley Delong
GenderMale
SpecialityOtolaryngology
Location1900 Brother Geenen Way, Sarasota, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356349039
  • Provider Enumeration Date: 07/07/2005
  • Last Update Date: 08/14/2019

Medical Identifiers

Medical identifiers for Dr Jack Wiley Delong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356349039NPI-NPPES
102005454MedicaidMI
P52387OtherMIBCN MICHIGAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 4301029955 (Michigan)Primary

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. Dr Jack Wiley Delong 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 AddressPractice Location Address
Dr Jack Wiley Delong, MD
111 W 24th St,
Holland, MI 49423-4791

Ph: (616) 396-2325
Dr Jack Wiley Delong, MD
1900 Brother Geenen Way,
Sarasota, FL 34236-7102

Ph: (941) 556-3220

Reviews and Comments


Otolaryngology Doctors in Sarasota, FL

Dr. Shaun Sebastian Baker, D.O.
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Dr. Peter Stephen Vosler, M.D., PH.D.
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Phone: 941-262-0500    Fax: 941-262-0505
Dr. Andrew M Marlowe, M.D.
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Phone: 941-379-3277    Fax: 941-379-6277
Robert P Hillstrom, MD
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Medicare: Medicare Enrolled
Practice Location: 5911 N Honore Ave Ste 120, Sarasota, FL 34243
Phone: 941-355-3223    Fax: 941-358-9749

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