| Shawn E Long, MD | |
|
1027 Memorial Dr, Oakland, MD 21550-4343 | |
| (301) 533-3300 | |
| (301) 533-3299 |
| Full Name | Shawn E Long |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1027 Memorial Dr, Oakland, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639275332 | NPI | - | NPPES |
| 2005302000 | Medicaid | WV | |
| 402362500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20683 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | D0078630 (Maryland) | Primary |
| Entity Name | Wellbe Senior Medical Group Of Pennsylvania Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255089132 PECOS PAC ID: 3173902533 Enrollment ID: O20220615002929 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn E Long, MD 1027 Memorial Dr, Oakland, MD 21550-4343 Ph: (301) 533-3300 | Shawn E Long, MD 1027 Memorial Dr, Oakland, MD 21550-4343 Ph: (301) 533-3300 |
Robert Aubrey Goralski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 311 N 4th St, Oakland, MD 21550 Phone: 301-334-8171 Fax: 301-334-1819 | |
Dr. Robert W Phares, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1027 Memorial Dr, Oakland, MD 21550 Phone: 301-533-3300 Fax: 301-533-3299 | |
Marlana Sheridan Bollinger, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 311 N 4th St Ste 1, Oakland, MD 21550 Phone: 301-334-7855 | |
Dr. Richard Allen Porter, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 311 N 4th St, Suite 1, Oakland, MD 21550 Phone: 301-334-7855 Fax: 301-334-7828 | |
Dr. Paul Daniel Miller, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 69 Wolf Acres Dr, Oakland, MD 21550 Phone: 301-334-4400 Fax: 301-334-8228 | |
Patricia B Gotsch, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 255 N 4th St, Suite 1, Oakland, MD 21550 Phone: 301-533-1046 Fax: 301-533-1049 | |
Thomas Gregory Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 311 N 4th St, Oakland, MD 21550 Phone: 301-334-8171 Fax: 301-334-1807 |