Dr William Lawrence Long, MD is a medicare enrolled "Radiology - Diagnostic Ultrasound" physician in Princeton, Kentucky. His current practice location is
100 Medical Center Drive, Princeton, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 365-0442.
Dr William Lawrence Long is licensed to practice in Kentucky (license number 18271) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457311557.
Physician's Profile
| Full Name | Dr William Lawrence Long |
|---|
| Gender | Male |
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| Speciality | Radiology - Diagnostic Ultrasound |
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| Location | 100 Medical Center Drive, Princeton, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457311557
- Provider Enumeration Date: 03/24/2006
- Last Update Date: 02/18/2015
Medicare PECOS Information:
- PECOS PAC ID: 3779541750
- Enrollment ID: I20041222000021
Medical Identifiers
Medical identifiers for Dr William Lawrence Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457311557 | NPI | - | NPPES |
| P 64182710 | Medicaid | KY | |
| 1786607 | Other | | ACR MEMBERSHIP # |
| 64182710 | Medicaid | KY | |
| 300117516 | Other | | RAILROAD MEDICARE |
| 000000185273 | Other | KY | BLUE CROSS/BLUE SHIELD |
| 18271 | Other | KY | MEDICAL LICENSE |
| M05431 | Other | TN | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085U0001X | Radiology - Diagnostic Ultrasound | 18271 (Kentucky) | 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 William Lawrence Long is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr William Lawrence Long, MD Po Box 42, Hopkinsville, KY 42441-0042 Ph: (270) 886-4556 | Dr William Lawrence Long, MD 100 Medical Center Drive, Princeton, KY 42445-0410 Ph: (270) 365-0442 |
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