Ms Judith Ann Long, THERAPIST is a 
Radiology - Therapeutic Radiology physician based in Bradner, Ohio. Ms Judith Ann Long is licensed to practice in California (license number 238639) and her current practice location is 109 N Evans, Bradner, Ohio. She can be reached at her office (for appointments etc.) via phone at 
(419) 288-3202.
NPI number for Ms Judith Ann Long is 1417097429 and her current mailing address is 109 N Evans, P.o.box 212, Bradner, Ohio. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417097429.
			
			
			
			
			
		
		 
Physician's Profile
		
			
			
			| Full Name | Ms Judith Ann Long | 
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| Gender | Female | 
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| Speciality | Radiology - Therapeutic Radiology | 
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| Location | 109 N Evans, Bradner, Ohio | 
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
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						  NPI Data:
			
			- NPI Number: 1417097429
- Provider Enumeration Date: 02/07/2007
- Last Update Date: 07/08/2007
 
		 
		 
Medical Identifiers
		Medical identifiers for Ms Judith Ann Long such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1417097429 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 2085R0203X | Radiology - Therapeutic Radiology | 238639 (California) | 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. Ms Judith Ann Long is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Ms Judith Ann Long, THERAPIST 109 N Evans, P.o.box 212,
 Bradner, OH 43406-0212
 Ph: (419) 288-3202
 | Ms Judith Ann Long, THERAPIST 109 N Evans,
 Bradner, OH 43406-0212
 Ph: (419) 288-3202
 | 
		
		 
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