| Allan Louis Long, CRNA | |
|
1060 Gaffney Rd Stop 7400, Fort Wainwright, AK 99703-5007 | |
| (907) 361-5532 | |
| Not Available |
| Full Name | Allan Louis Long |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1060 Gaffney Rd Stop 7400, Fort Wainwright, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770533317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 116420 (Alaska) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN521826L (Pennsylvania) | Primary |
| Entity Name | Tanana Valley Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991 |
| Entity Name | Anesthesia Consultants Of Fairbanks Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285272260 PECOS PAC ID: 9234566340 Enrollment ID: O20200303000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Allan Louis Long, CRNA 2505 Allen Adale Rd, Fairbanks, AK 99709-2581 Ph: (301) 300-2077 | Allan Louis Long, CRNA 1060 Gaffney Rd Stop 7400, Fort Wainwright, AK 99703-5007 Ph: (907) 361-5532 |
Dr. Sephra Leger, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1046 Neely Road, Fort Wainwright, AK 99705 Phone: 907-361-4000 | |
Leah Sheaffer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4076 Neely Road, Fort Wainwright, AK 99703 Phone: 910-574-2037 |