Mr Keith Eugene Long, PA-C in Madras, OR

Mr Keith Eugene Long, PA-C - Physician Assistant in Madras, OR

Mr Keith Eugene Long, PA-C is a Physician Assistant based in Madras, Oregon. Mr Keith Eugene Long is licensed to practice in Oregon (license number PA00386) and his current practice location is 76 Ne 12th St, Madras, Oregon. He can be reached at his office (for appointments etc.) via phone at (541) 475-3874.

NPI number for Mr Keith Eugene Long is 1467407122 and his current mailing address is 76 Ne 12th St, Madras, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467407122.

Contact Information

	Mr Keith Eugene Long, PA-C
	76 Ne 12th St, Madras, OR 97741-1827
	(541) 475-3874
	(541) 475-3503

Map and Direction

Provider's Profile

Full Name	Mr Keith Eugene Long
Gender	Male
Speciality	Physician Assistant
Location	76 Ne 12th St, Madras, Oregon
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1467407122
Provider Enumeration Date: 05/23/2006
Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Mr Keith Eugene Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467407122	NPI	-	NPPES
150563	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA00386 (Oregon)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Keith Eugene Long is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Keith Eugene Long, PA-C 76 Ne 12th St, Madras, OR 97741-1827 Ph: (541) 475-3874	Mr Keith Eugene Long, PA-C 76 Ne 12th St, Madras, OR 97741-1827 Ph: (541) 475-3874

Reviews and Comments

Physician Assistant Nurses in Madras, OR

Ms. Angela Vetterick, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Ne A St Ste 100, Madras, OR 97741 Phone: 541-383-3005 Fax: 541-383-1883
Joy Elizabeth Light, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Ne A St Ste 100, Madras, OR 97741 Phone: 541-383-3005 Fax: 541-383-1883