| Lisa M Long, MD | |
|
1414 W Fair Ave, Ste 36, Marquette, MI 49855-2675 | |
| (906) 225-3864 | |
| (906) 225-3851 |
| Full Name | Lisa M Long |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1414 W Fair Ave, Marquette, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326039462 | NPI | - | NPPES |
| 080187364 | Other | MI | RAILROAD MEDICARE |
| 4416083 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301074655 (Michigan) | Primary |
| Entity Name | Sound Inpatient Physicians-michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639311996 PECOS PAC ID: 5395896849 Enrollment ID: O20090624000252 |
| Entity Name | Dlp Marquette Physician Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Long, MD 4602 Dept, Carol Stream, IL 60122-0021 Ph: (906) 225-3864 | Lisa M Long, MD 1414 W Fair Ave, Ste 36, Marquette, MI 49855-2675 Ph: (906) 225-3864 |
Spring L Madosh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 W Main St, Marquette, MI 49855 Phone: 906-225-3988 Fax: 906-225-4707 | |
Lyle J Vanderschaaf, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 420 W Magnetic St, Suite Er, Marquette, MI 49855 Phone: 888-674-0854 Fax: 906-225-3370 | |
Kathryn Lerche, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave, Suite 36, Marquette, MI 49855 Phone: 906-225-3864 | |
Sarah O'mara, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1414 W Fair Ave Ste 36, Marquette, MI 49855 Phone: 906-449-1120 | |
Thomas Kates, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave Ste 249, Marquette, MI 49855 Phone: 906-449-2900 Fax: 906-372-3230 | |
Dr. Cynthia K Lack, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 425 Fisher St, Marquette, MI 49855 Phone: 906-226-4618 Fax: 906-226-5317 | |
Katrina M Brang, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 717 W Washington St Ste A, Marquette, MI 49855 Phone: 906-936-3499 Fax: 906-224-2562 |