Tom Longest Jr. (NPI# 1851477079, PAC ID# 0648343343) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1851477079 |
PAC ID by PECOS | 0648343343 |
Professional Enrollment ID | I20080714000340 |
Full Name | Tom Longest Jr. |
Address |
128 Public Sq Bruce MS 38915-8800 |
Phone Number | 6629833222 |
Gender | M |
Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
Graduation Year | 1986 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | EMERGENCY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
251331 | BMH-CALHOUN |
250034 | BAPTIST MEMORIAL HOSPITAL NORTH MS |
250004 | NORTH MISSISSIPPI MEDICAL CENTER |
250017 | TRACE REGIONAL HOSP AND SWING BED |
250061 | YALOBUSHA GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
128 Public Sq, Bruce, MS 38915-8800 | 6629833222 | |
140 Burke Calhoun City Rd, Calhoun City, MS 38916-9690 | 6626286611 | DOBBS EMERGENCY GROUP, LLC |
140 Burke Calhoun City Rd, Calhoun City, MS 38916-9690 | 662628661166239 | CORRECT CARE, INC. |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
Street Address |
128 PUBLIC SQ |
City | BRUCE |
State | MS |
Zip | 38915-8800 |
Name | Specialty | Organization | Address |
---|---|---|---|
Willie Lee Wells | Family Medicine | 407 E Calhoun St, Bruce, MS 38915-0902 | |
Jennifer D Nelson | Physical Therapy | Ltc Therapy Solutions LLC | 131 Public Sq, Bruce, MS 38915-8801 |
Jotavius D Jones | Occupational Therapy | Ltc Therapy Solutions LLC | 131 Public Sq, Bruce, MS 38915-8801 |
Erin W Pacific | Physical Therapy | Ltc Therapy Solutions LLC | 131 Public Sq, Bruce, MS 38915-8801 |
Angeline M Estoque | Physical Therapy | Ltc Therapy Solutions LLC | 131 Public Sq, Bruce, MS 38915-8801 |
James E Brown | Optometry | Bruce Eye Clinic Inc. | 208 W Calhoun St, Bruce, MS 38915-9370 |
City | BRUCE |
Zip Code | 38915 |
Specialty | FAMILY MEDICINE |
City + Specialty | BRUCE + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.