| Lisa Long, PA | |
|
201 Cedar St Se Ste 304, Albuquerque, NM 87106-4932 | |
| (505) 843-7813 | |
| Not Available |
| Full Name | Lisa Long |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 201 Cedar St Se Ste 304, Albuquerque, New Mexico |
| 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 |
|---|---|---|---|
| 1356831572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2018-0086 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rio Grande Dermatology, Pc | 4082777008 | 8 |
| Entity Name | UNM Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
| Entity Name | Rio Grande Dermatology, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497910848 PECOS PAC ID: 4082777008 Enrollment ID: O20090116000108 |
| Entity Name | Epiphany Dermatology of New Mexico, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615760 PECOS PAC ID: 4082919691 Enrollment ID: O20160219000201 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Long, PA 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310 Ph: Not Available | Lisa Long, PA 201 Cedar St Se Ste 304, Albuquerque, NM 87106-4932 Ph: (505) 843-7813 |
Audra Dawn Clemens, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106 Phone: 505-724-6124 Fax: 505-724-6125 |
Jessica Rose Aragon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5904 Holly Ave Ne, Albuquerque, NM 87113 Phone: 505-298-2505 |
Elise Nicole Pedigo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 630 Haines Ave Nw, Albuquerque, NM 87102 Phone: 505-268-5611 Fax: 505-268-5736 |
Samantha Travierso, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 505-265-1711 |
Mrs. Danielle Kimberly Mccarthy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8301 Spain Rd Ne, Albuquerque, NM 87109 Phone: 505-821-6663 |
Ms. Lauren Soules, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3615 Highway 528 Nw, Albuquerque, NM 87114 Phone: 505-248-1518 |
Jennifer Lynn Otis, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3741 Rutledge Rd Ne, Albuquerque, NM 87109 Phone: 505-798-9300 Fax: 505-798-0808 |