Mr Kenneth D Long, in Prineville, OR

Mr Kenneth D Long, is a Physician Assistant based in Prineville, Oregon. Mr Kenneth D Long is licensed to practice in Oregon (license number PA00535) and his current practice location is 1251 Ne Elm St, Prineville, Oregon. He can be reached at his office (for appointments etc.) via phone at (541) 447-1680.

NPI number for Mr Kenneth D Long is 1982605911 and his current mailing address is 1251 Ne Elm St, Prineville, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982605911.

Contact Information

	Mr Kenneth D Long,
	1251 Ne Elm St, Prineville, OR 97754
	(541) 447-1680
	(541) 447-4670

Map and Direction

Provider's Profile

Full Name	Mr Kenneth D Long
Gender	Male
Speciality	Physician Assistant
Location	1251 Ne Elm St, Prineville, Oregon
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1982605911
Provider Enumeration Date: 08/01/2005
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Kenneth D Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982605911	NPI	-	NPPES
13503	Other		CLEAR CHOICE
93071013397754A001	Other		TRICARE WEST
9700113590	Other		RAILROAD MEDICARE
GRP331	Other		PROVIDENCE HEALTH PLANS
H3079	Other		PACIFIC SOURCE
13503	Other		COIHS
205625	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA00535 (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 Kenneth D 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 Kenneth D Long, 1251 Ne Elm St, Prineville, OR 97754 Ph: (541) 447-1680	Mr Kenneth D Long, 1251 Ne Elm St, Prineville, OR 97754 Ph: (541) 447-1680

Reviews and Comments

Physician Assistant Nurses in Prineville, OR

Amanpreet Kaur, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 384 Se Combs Flat Rd Ste 1200, Prineville, OR 97754 Phone: 541-447-6263 Fax: 541-447-6263
Shannon K Brasher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 384 Se Combs Flat Rd Ste 1200, Prineville, OR 97754 Phone: 541-447-6263 Fax: 541-447-8724
Joe Panelli, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 375 Nw Beaver St Ste 101, Prineville, OR 97754 Phone: 520-643-6627
Brandon W Brasher, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 384 Se Combs Flat Rd, Prineville, OR 97754 Phone: 541-447-8750 Fax: 541-447-8428
Mr. Scott Matthew Light, P.A.-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1251 Ne Elm St, Suite 1a, Prineville, OR 97754 Phone: 541-447-1680 Fax: 541-447-4670
Leeann Cheryl Osborne, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 375 Nw Beaver St, Suite 101, Prineville, OR 97754 Phone: 541-447-1680 Fax: 541-447-4670
Connor James Richardson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 384 Se Combs Flat Rd Ste 1200, Prineville, OR 97754 Phone: 541-447-6263

Mr Kenneth D Long, - Physician Assistant in Prineville, OR