| Dr Tanika Reontae Long, MD | |
|
30 Medical Center Blvd, Suite 305, Upland, PA 19013-3955 | |
| (610) 874-6448 | |
| (610) 876-7399 |
| Full Name | Dr Tanika Reontae Long |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 23 Years |
| Location | 30 Medical Center Blvd, Upland, Pennsylvania |
| 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 |
|---|---|---|---|
| 1710934641 | NPI | - | NPPES |
| 428458 | Other | PA | MD LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 70297 (Georgia) | Secondary |
| 207L00000X | Anesthesiology | MD428458 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Anesthesia Llc | 2163837972 | 365 |
| North Atlanta Anesthesia Professionals, Llc | 5496134348 | 485 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Coastal Ambulatory Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750753786 PECOS PAC ID: 1052613023 Enrollment ID: O20160107001775 |
| Entity Name | Alpharetta Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1568840528 PECOS PAC ID: 1153620869 Enrollment ID: O20160502001999 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Entity Name | Gi Anesthesia Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326569187 PECOS PAC ID: 0446516769 Enrollment ID: O20171102000283 |
| Entity Name | Piedmont Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
| Entity Name | North Atlanta Anesthesia Professionals, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tanika Reontae Long, MD 30 Medical Center Blvd, Suite 305, Upland, PA 19013-3955 Ph: (610) 874-6448 | Dr Tanika Reontae Long, MD 30 Medical Center Blvd, Suite 305, Upland, PA 19013-3955 Ph: (610) 874-6448 |
Phyllis Garberman Schapire, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 30 Medical Center Blvd, Suite 305, Upland, PA 19013 Phone: 610-874-6448 Fax: 610-876-7399 | |
Catherine J Digregorio, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 Medical Center Blvd, Suite 305, Upland, PA 19013 Phone: 610-874-6448 Fax: 610-876-7399 | |
Caroline Bashore, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 Medical Center Boulevard, Professional Office Bldg 1, Ste. 305, Upland, PA 19013 Phone: 610-874-6448 | |
Jeffrey A Nachman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 Medical Center Blvd, Suite 305, Upland, PA 19013 Phone: 610-874-6448 Fax: 610-876-7399 | |
Lawrence S Levit, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 30 Medical Center Blvd, Suite 305, Upland, PA 19013 Phone: 610-874-6448 Fax: 610-876-7399 | |
Meena Raman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 Medical Center Blvd, Suite 305, Upland, PA 19013 Phone: 610-874-6448 Fax: 610-876-7399 | |
Ruth Dombkoski, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 30 Medical Center Blvd, Suite 30, Upland, PA 19013 Phone: 610-874-6448 Fax: 610-876-7399 |