| Dr Mary Ingram Long, MD | |
|
114 E 5th St, Natchitoches, LA 71457-5725 | |
| (318) 354-9348 | |
| (318) 354-9269 |
| Full Name | Dr Mary Ingram Long |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 114 E 5th St, Natchitoches, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972500221 | NPI | - | NPPES |
| 1494666 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 022285 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Coushatta, LA | Home health agency |
| Natchitoches Regional Medical Center | Natchitoches, LA | Hospital |
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Courtyard Of Natchitoches | Natchitoches, LA | Nursing home |
| Entity Name | Mary Ingram Long A Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932425337 PECOS PAC ID: 3274664123 Enrollment ID: O20100622000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Ingram Long, MD 114 E 5th St, Natchitoches, LA 71457-5725 Ph: (318) 354-9348 | Dr Mary Ingram Long, MD 114 E 5th St, Natchitoches, LA 71457-5725 Ph: (318) 354-9348 |
Dr. Alfred Godwin Ajise, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Melrose Ave, Natchitoches, LA 71457 Phone: 318-238-3820 Fax: 318-238-3823 | |
Dr. James Paul Thibodaux Jr., MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 Parkway Dr Ste A, Natchitoches, LA 71457 Phone: 318-352-6464 Fax: 318-352-2488 | |
Mrs. Kathleen Edna Kautz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 Parkway Dr Ste B, Natchitoches, LA 71457 Phone: 318-238-6001 Fax: 318-238-6002 | |
Otis R Barnum, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 617 Bienville St, Natchitoches, LA 71457 Phone: 318-352-9880 Fax: 318-357-1347 | |
Mr. Stephen W Wheat, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 138 East 5th Street, Suite E, Natchitoches, LA 71457 Phone: 318-352-4477 Fax: 318-352-4470 | |
Dr. Christopher L Ingram, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Keyser Ave, Natchitoches, LA 71457 Phone: 318-214-4550 Fax: 318-214-4553 | |
Dr. Darrell J Hutson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Keyser Ave, Natchitoches, LA 71457 Phone: 318-214-4830 Fax: 318-214-4651 |