| Dr Kuumba K Long, MD | |
|
1601 W Lincoln Rd, Kokomo, IN 46902 | |
| (765) 453-5696 | |
| (765) 455-4323 |
| Full Name | Dr Kuumba K Long |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 20 Years |
| Location | 1601 W Lincoln Rd, Kokomo, Indiana |
| 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 |
|---|---|---|---|
| 1558400291 | NPI | - | NPPES |
| 09161 | Other | CA | PI NUMBER |
| 200950820 | Medicaid | IN | |
| 000000623704 | Other | IN | ANTHEM PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 01066913A (Indiana) | Primary |
| 207W00000X | Ophthalmology | A97642 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Eye Consultants Pc | 2961399217 | 66 |
| Entity Name | Midwest Eye Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912960535 PECOS PAC ID: 2961399217 Enrollment ID: O20040302000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kuumba K Long, MD Po Box 549, Wabash, IN 46992-0549 Ph: (260) 569-9550 | Dr Kuumba K Long, MD 1601 W Lincoln Rd, Kokomo, IN 46902 Ph: (765) 453-5696 |
Alan Richard Crebo, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1601 W Lincoln Rd, Kokomo, IN 46902 Phone: 765-453-5696 Fax: 765-455-4323 | |
Robert B Dinn, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3433 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-3777 Fax: 765-453-6577 | |
Michael R Wild, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3433 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-3777 Fax: 765-453-6577 | |
Dr. Leo Gene Watson, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5606 Four Mile Dr, Kokomo, IN 46901 Phone: 765-452-7000 |