| Dr Richard J Long, MD | |
|
5201 Norris Canyon Rd Ste 210, San Ramon, CA 94583-5405 | |
| (925) 933-9868 | |
| Not Available |
| Full Name | Dr Richard J Long |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 33 Years |
| Location | 5201 Norris Canyon Rd Ste 210, San Ramon, California |
| 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 |
|---|---|---|---|
| 1912903071 | NPI | - | NPPES |
| 331070099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 014674 (Maine) | Secondary |
| 208800000X | Urology | G89306 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John Muir Medical Center - Concord Campus | Concord, CA | Hospital |
| John Muir Medical Center - Walnut Creek Campus | Walnut creek, CA | Hospital |
| Stanford Health Care - Valleycare | Pleasanton, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| John Muir Physician Network | 6608789813 | 466 |
| Entity Name | John Muir Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841407665 PECOS PAC ID: 6608789813 Enrollment ID: O20031226000143 |
| Entity Name | John Muir Trauma Physicians Billing Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093864837 PECOS PAC ID: 3476542515 Enrollment ID: O20050420001452 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard J Long, MD 1450 Treat Blvd # 300, Walnut Creek, CA 94597-2168 Ph: (925) 952-2828 | Dr Richard J Long, MD 5201 Norris Canyon Rd Ste 210, San Ramon, CA 94583-5405 Ph: (925) 933-9868 |
Mark R. Avon, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5201 Norris Canyon Rd Ste 210, San Ramon, CA 94583 Phone: 925-830-1140 Fax: 925-973-0976 |