| Sherrie R Long, NP | |
|
1030 River Oaks Dr, Jackson, MS 39232-9553 | |
| (800) 893-9698 | |
| Not Available |
| Full Name | Sherrie R Long |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 1030 River Oaks Dr, Jackson, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568533248 | NPI | - | NPPES |
| 00124253 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | R804367 (Mississippi) | Secondary |
| 363L00000X | Nurse Practitioner | 804367 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Sunflower Medical Center | 7618932294 | 40 |
| Entity Name | Sharkey Issaquena Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013004795 PECOS PAC ID: 1759283039 Enrollment ID: O20040126000869 |
| Entity Name | South Sunflower County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184679292 PECOS PAC ID: 6709771637 Enrollment ID: O20040218000979 |
| Entity Name | Greenwood Leflore Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699714717 PECOS PAC ID: 1153399472 Enrollment ID: O20040923000500 |
| Entity Name | North Sunflower Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891705133 PECOS PAC ID: 7618932294 Enrollment ID: O20041123000318 |
| Entity Name | Coffee County Physician Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437164878 PECOS PAC ID: 4082671235 Enrollment ID: O20190612002779 |
| Entity Name | Yazoo Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447806914 PECOS PAC ID: 0749511574 Enrollment ID: O20191009002380 |
| Mailing Address | Practice Location Address |
|---|---|
| Sherrie R Long, NP 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: () - | Sherrie R Long, NP 1030 River Oaks Dr, Jackson, MS 39232-9553 Ph: (800) 893-9698 |