| Dr William P Long, DO | |
|
215 E 1st St, Dixon, IL 61021 | |
| (815) 288-7711 | |
| (815) 285-8930 |
| Full Name | Dr William P Long |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 33 Years |
| Location | 215 E 1st St, Dixon, Illinois |
| 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 |
|---|---|---|---|
| 1568430460 | NPI | - | NPPES |
| 036098381 | Medicaid | IL | |
| K05115 | Other | IL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036-098381 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Ksb Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William P Long, DO 215 E 1st St, Dixon, IL 61021-3166 Ph: (815) 288-7711 | Dr William P Long, DO 215 E 1st St, Dixon, IL 61021 Ph: (815) 288-7711 |
Dr. Shirley J Stone, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 215 E 1st St Ste 215, Dixon, IL 61021 Phone: 815-285-5420 Fax: 815-285-5426 | |
Dr. Anna Bida-dudun, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 215 E. 1st Street, Suite 215, Ksb Medical Group, Dixon, IL 61021 Phone: 815-285-5423 Fax: 815-285-5426 | |
Dr. Robb V Rydzynski, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 215 E. 1st Street, Suite 215, Dixon, IL 61021 Phone: 815-288-7711 Fax: 815-285-8930 | |
Dr. Lakshmi Dundoo, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 215 E 1st St Ste 215, Dixon, IL 61021 Phone: 815-285-5427 Fax: 815-285-5426 |