| Brent M Long, PA | |
|
2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | |
| (717) 686-9842 | |
| Not Available |
| Full Name | Brent M Long |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2401 Park Dr Ste 101, Harrisburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508808528 | NPI | - | NPPES |
| 200366520A | Medicaid | KS |
| Entity Name | U S Health Dept of Health & Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972694602 PECOS PAC ID: 9638081623 Enrollment ID: O20031106000399 |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
| Entity Name | Rosebud Indian Health Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
| Entity Name | Eagle Butte Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558395848 PECOS PAC ID: 7517852759 Enrollment ID: O20040217001024 |
| Entity Name | Ton Sells Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487652426 PECOS PAC ID: 5092768663 Enrollment ID: O20050301000125 |
| Entity Name | Ton San Xavier Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437157302 PECOS PAC ID: 6608819339 Enrollment ID: O20050603000721 |
| Entity Name | Ton Santa Rosa Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770581639 PECOS PAC ID: 0749223485 Enrollment ID: O20050603000761 |
| Entity Name | Ton San Simon Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588834998 PECOS PAC ID: 8123194354 Enrollment ID: O20081111000398 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent M Long, PA 2401 Park Dr, Ste 101, Harrisburg, PA 17110-9303 Ph: (610) 367-2259 | Brent M Long, PA 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 Ph: (717) 686-9842 |
Mrs. Nicole Elaine Shiley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6301 Grayson Rd, Suite 9, Harrisburg, PA 17111 Phone: 717-920-5910 Fax: 717-920-5916 |
Maegan E Greenwade, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4200 Union Deposit Rd, Harrisburg, PA 17111 Phone: 717-558-6708 |
Maria A. Trees, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 845 Sir Thomas Court, Suite 7, Harrisburg, PA 17109 Phone: 717-651-5800 |
Mr. David L Hallock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5908 |
Mrs. Marcia Herrell Sadler, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-988-0000 Fax: 717-782-5716 |
Rebecca Cloninger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 205 South Front Street, 6th Floor Bma, Harrisburg, PA 17104 Phone: 717-988-9370 Fax: 717-703-0154 |
Nurdina Hasanovic, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2808 Old Post Rd, Harrisburg, PA 17110 Phone: 717-920-4400 Fax: 717-920-4401 |