Webb E Long, MD | |
180 Park Ave Ste 1, Portland, ME 04102-2927 | |
(207) 874-2141 | |
(207) 874-2164 |
Full Name | Webb E Long |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 180 Park Ave Ste 1, Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023054277 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD21677 (Maine) | Primary |
208000000X | Pediatrics | 51162 (Wisconsin) | Secondary |
208000000X | Pediatrics | 243042 (Massachusetts) | Secondary |
Entity Name | Martins Point Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366474611 PECOS PAC ID: 5991776635 Enrollment ID: O20040804001702 |
Mailing Address | Practice Location Address |
---|---|
Webb E Long, MD 180 Park Ave, Portland, ME 04102-2957 Ph: (207) 874-2141 | Webb E Long, MD 180 Park Ave Ste 1, Portland, ME 04102-2927 Ph: (207) 874-2141 |
Rushika M Conroy, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 41 Donald B Dean Dr Ste A, Portland, ME 04106 Phone: 207-661-6064 | |
Michael Alexander Ferguson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Mmc Picu, Portland, ME 04102 Phone: 207-662-6711 | |
Dr. Rute S Rothwell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-7060 | |
Kenneth Lombard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 887 Congress St, Suite 410b, Portland, ME 04102 Phone: 207-662-5522 Fax: 207-662-5526 | |
Gretchen A. Pianka, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 180 Park Ave Ste 1, Portland, ME 04102 Phone: 207-874-2141 Fax: 207-874-2164 | |
David F Cox, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2353 |