Mrs Beverly Jean Long, CRNA, MS is a 
Nurse Anesthetist, Certified Registered based in Republic, Missouri. Mrs Beverly Jean Long is licensed to practice in Missouri (license number 122344) and her current practice location is 
678 E Elm St, Republic, Missouri. She can be reached at her office (for appointments etc.) via phone at 
(417) 732-6894.
NPI number for Mrs Beverly Jean Long is 1356370985 and her current mailing address is 678 E Elm St, Republic, Missouri. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356370985.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Mrs Beverly Jean Long | 
|---|
| Gender | Female | 
|---|
| Speciality | Nurse Anesthetist, Certified Registered | 
|---|
| Location | 678 E Elm St, Republic, Missouri | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1356370985
 - Provider Enumeration Date: 07/03/2006
 - Last Update Date: 07/08/2007
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Mrs Beverly Jean Long such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1356370985 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 367500000X | Nurse Anesthetist, Certified Registered  | 122344 (Missouri) | Primary | 
| 367500000X | Nurse Anesthetist, Certified Registered  | 0024166617 (Virginia) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered  | 51993 (Maine) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered  | 172980 (APN 4715) (Colorado) | Secondary | 
		
		
			
			
			
		
		
		 
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. Mrs Beverly Jean 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 | 
		Mrs Beverly Jean Long, CRNA, MS 678 E Elm St, Republic, MO 65738-1500 Ph: (417) 732-6894 | Mrs Beverly Jean Long, CRNA, MS 678 E Elm St, Republic, MO 65738-1500 Ph: (417) 732-6894 | 
		
		 
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