Rebecca Rich Long (NPI# 1760482657, PAC ID# 2769420736) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760482657 |
| PAC ID by PECOS | 2769420736 |
| Professional Enrollment ID | I20050420000669 |
| Full Name | Rebecca Rich Long |
| Organization Legal Name | BERWICK CLINIC COMPANY LLC |
| Address |
3151 Columbia Blvd Bloomsburg PA 17815-8889 |
| Phone Number | 5707840500 |
| Gender | F |
| Credential | MD |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY, PERIPHERAL VASCULAR DISEASE |
| Group Practice PAC ID | 0648279620 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390072 | BERWICK HOSPITAL CENTER |
| 390006 | GEISINGER MEDICAL CENTER |
| 390003 | GEISINGER-BLOOMSBURG HOSPITAL |
| 390270 | GEISINGER WYOMING VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 751 E 16th St, Suite 400, Berwick, PA 18603-2321 | 5707595555 | BERWICK CLINIC COMPANY LLC |
| 3151 Columbia Blvd, Bloomsburg, PA 17815-8889 | 5707840500 | BERWICK CLINIC COMPANY LLC |
| Organization Legal Name | BERWICK CLINIC COMPANY LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maxwell Eric Tolan | Family Medicine | Berwick Clinic Company LLC | 1 Brookhill S Sq, Sugarloaf, PA 18249-1016 |
| Kwaku Nyame Boakye | Family Medicine | Berwick Clinic Company LLC | 109 S Mail St, Berwick Medical Prof, Shickskinny, PA 18655-1221 |
| Jose F Derr | Family Practice | Berwick Clinic Company LLC | 101 W 9th St, Berwick, PA 18603-3024 |
| Michael B Levandowski | Nurse Practitioner | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
| Kathy Eileen Baylor | Family Medicine | Berwick Clinic Company LLC | 3151 Columbia Blvd, Bloomsburg, PA 17815-8889 |
| Marek Kurowski | Pain Management | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
| Erica Perez | Family Medicine | Berwick Clinic Company LLC | 3151 Columbia Blvd, Bloomsburg, PA 17815-8889 |
| Ryan J Hawley | General Surgery | Berwick Clinic Company LLC | 6850 Lows Rd, Suite 328, Berwick, PA 18603-2321 |
| Robert A Gregor | Nurse Practitioner | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
| Michelle Lynn Hall | Nurse Practitioner | Berwick Clinic Company LLC | 699 E 16th St, Rear, Berwick, PA 18603-2315 |
| Street Address |
3151 COLUMBIA BLVD |
| City | BLOOMSBURG |
| State | PA |
| Zip | 17815-8889 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott John Boyle | Orthopedic Surgery | Mountain View Orthopaedics and Associates PC | 3151 Columbia Blvd, Bloomsburg, PA 17815-8889 |
| Kathy Eileen Baylor | Family Medicine | Berwick Clinic Company LLC | 3151 Columbia Blvd, Bloomsburg, PA 17815-8889 |
| Erica Perez | Family Medicine | Berwick Clinic Company LLC | 3151 Columbia Blvd, Bloomsburg, PA 17815-8889 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neil R Engelman | Chiropractic | 1319 N Market St, Berwick, PA 17815 | |
| David J Portonova | Podiatry | Portonova Foot and Ankle Specialists LLC | 410 Glen Ave, Suite 201, Bloomsburg, PA 17815-1200 |
| Ronald Joseph Avenia | Ophthalmology | 410 Glen Ave, Suite 302, Bloomsburg, PA 17815-1200 | |
| Matthew C Kujat | Podiatry | Portonova Foot and Ankle Specialists LLC | 410 Glen Ave, Suite 201, Bloomsburg, PA 17815-1200 |
| Karen M Campbell | Podiatry | 410 Glen Ave, Bloomsburg, PA 17815-1200 | |
| Amanda Weremedic | Qualified Audiologist | Husky Research Corporation Inc | 400 E 2nd St, Centennial Hall, Bloomsburg, PA 17815-1301 |
| Deborah R John | Qualified Audiologist | Husky Research Corporation Inc | 400 E 2nd St, Centennial Hall, Bloomsburg, PA 17815-1301 |
| Jennifer M Nudo | Qualified Speech Language Pathologist | Husky Research Corporation Inc | 400 E 2nd St, Centennial Hall, Bloomsburg, PA 17815-1301 |
| Danielle N Huss | Qualified Speech Language Pathologist | Husky Research Corporation Inc | 400 E 2nd St, Centennial Hall, Bloomsburg, PA 17815-1301 |
| Anita Louise Wasileski | Speech Language Pathologist | Husky Research Corporation Inc | 400 E 2nd St, Centennial Hall, Bloomsburg, PA 17815-1301 |
| Find all physicians in zip 17815 | |||
| City | BLOOMSBURG |
| Zip Code | 17815 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BLOOMSBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Rebecca Rich Long.
| 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.