| Michaela Long, CRNA | |
|
1650 Cowles St, Fairbanks, AK 99701-5925 | |
| (800) 945-9877 | |
| (801) 733-5618 |
| Full Name | Michaela Long |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 27 Years |
| Location | 1650 Cowles St, Fairbanks, Alaska |
| 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 |
|---|---|---|---|
| 1356446397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 217 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tanana Valley Clinic Llc | 5698056901 | 131 |
| Anesthesia Consultants Of Fairbanks Llc | 9234566340 | 7 |
| 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 |
|---|---|
| Michaela Long, CRNA Po Box 678284, Dallas, TX 75267-8284 Ph: (907) 452-2700 | Michaela Long, CRNA 1650 Cowles St, Fairbanks, AK 99701-5925 Ph: (800) 945-9877 |
Shane Richard Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-452-8181 | |
Margaret Claire Quirion, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-3000 | |
Mr. Danny Joe Roth, CRNA, APN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-388-6852 | |
Priscilla Stoddard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 800-945-9877 Fax: 801-733-5618 | |
Brittany Marie Hosler Belknap, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-459-3500 | |
Ms. Kathryn Marlene Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1275 Sadler Way, Ste 202, Fairbanks, AK 99701 Phone: 907-452-4101 |