Kathleen Long, MD - Emergency Medicine in Mishawaka, IN

Kathleen Long, MD is a Emergency Medicine physician based in Mishawaka, Indiana. Kathleen Long is licensed to practice in Indiana (license number 01028072A) and her current practice location is 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, Indiana. She can be reached at her office (for appointments etc.) via phone at (574) 335-5000.

NPI number for Kathleen Long is 1154387132 and her current mailing address is 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154387132.

Contact Information

Kathleen Long, MD
5215 Holy Cross Pkwy, Emergency Department,
Mishawaka, IN 46545-1469
(574) 335-5000
Not Available



Physician's Profile

Full NameKathleen Long
GenderFemale
SpecialityEmergency Medicine
Location5215 Holy Cross Pkwy, Mishawaka, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154387132
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 12/16/2011

Medical Identifiers

Medical identifiers for Kathleen Long such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154387132NPI-NPPES
100318630MedicaidIN
930101013OtherINRAIL ROAD MEDICARE
000000181684OtherINANTHEM
104340083MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 01028072A (Indiana)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. Kathleen 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 AddressPractice Location Address
Kathleen Long, MD
5215 Holy Cross Pkwy, Emergency Department,
Mishawaka, IN 46545-1469

Ph: (574) 335-5000
Kathleen Long, MD
5215 Holy Cross Pkwy, Emergency Department,
Mishawaka, IN 46545-1469

Ph: (574) 335-5000

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Emergency Medicine Doctors in Mishawaka, IN

Dr. Christy Lynn Annis, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545
Phone: 574-335-5000    
Jonathan Neil Shenk, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545
Phone: 574-335-5000    
Kurtis Dejong, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545
Phone: 574-335-5000    
Mark Lawrence Kricheff, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545
Phone: 574-335-5000    
Karla Goulart Newbold, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545
Phone: 574-335-5000    
Colin Steiner,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
Phone: 574-335-5000    

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