| Dominique Long, APRN | |
|
1302 River St, Palatka, FL 32177-5042 | |
| (386) 328-8371 | |
| Not Available |
| Full Name | Dominique Long |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 0 Years |
| Location | 1302 River St, Palatka, Florida |
| 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 |
|---|---|---|---|
| 1528865318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11037931 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rural Health Care Inc | 7214849520 | 27 |
| Entity Name | Rural Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871569061 PECOS PAC ID: 7214849520 Enrollment ID: O20031219000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique Long, APRN 1302 River St, Palatka, FL 32177-5042 Ph: () - | Dominique Long, APRN 1302 River St, Palatka, FL 32177-5042 Ph: (386) 328-8371 |
Lindsey Fletcher, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711 | |
Mrs. Kathleen Anne Russell, ARNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6400 Saint Johns Ave, Palatka, FL 32177 Phone: 904-279-2200 | |
Kashanti Shanti Bowden, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6910 Old Wolf Bay Rd, Palatka, FL 32177 Phone: 386-328-7337 | |
Jennifer Paffmann, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 Reid St, Palatka, FL 32177 Phone: 386-328-5437 | |
Julia Loftus Weber, ARNP RNCS MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 Kay Larkin Drive, Palatka, FL 32177 Phone: 386-329-3780 Fax: 386-329-3786 | |
Mr. Ronald Michael Wendt, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3703 Crill Ave, Palatka, FL 32177 Phone: 386-866-9100 Fax: 386-866-1900 | |
Ms. Canisha Shanara Gillon, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 Kay Larkin Dr, Palatka, FL 32177 Phone: 386-329-3780 |