| Mrs Melissa J Long, APN-CNP | |
|
3880 Salem Lake Dr, F, Long Grove, IL 60047-5292 | |
| (847) 719-2220 | |
| (847) 719-2265 |
| Full Name | Mrs Melissa J Long |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 3880 Salem Lake Dr, Long Grove, Illinois |
| 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 |
|---|---|---|---|
| 1649619768 | NPI | - | NPPES |
| 209010475 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209010475 (Illinois) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 209010475 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3372 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Northwest Neurology, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427094077 PECOS PAC ID: 8729069158 Enrollment ID: O20040601000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Melissa J Long, APN-CNP 22285 N Pepper Rd Ste 401, Lake Barrington, IL 60010-2542 Ph: (847) 839-4391 | Mrs Melissa J Long, APN-CNP 3880 Salem Lake Dr, F, Long Grove, IL 60047-5292 Ph: (847) 719-2220 |
Helen E Okorie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Rebecca Lynne Smith, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr # F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Miss Monica Lisa Bieszczad, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Angela Rose Depa, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Kathy Wajda, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Alexis Gellar, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Kimberly Nicholson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 |