Jayme Nicole Kasting Long (NPI# 1497169403, PAC ID# 5991923641) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1497169403 |
PAC ID by PECOS | 5991923641 |
Professional Enrollment ID | I20170124002122 |
Full Name | Jayme Nicole Kasting Long |
Address |
641 E S T Mary St Milton WI 53563-3719 |
Phone Number | 6088684651 |
Gender | F |
Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
Graduation Year | 2014 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 8325154271 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1110 N Main St, Edgerton, WI 53534-1328 | 6088843314 | |
641 E S T Mary St, Milton, WI 53563-3719 | 6088684651 |
Street Address |
641 E S T MARY ST |
City | MILTON |
State | WI |
Zip | 53563-3719 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tristan M Long | Optometry | 641 E S T Mary St, Milton, WI 53563-3719 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lois A Hadley | Clinical Social Worker | 508 Campus St, Suite 6, Milton, WI 53563-1750 | |
Daniel J Kulas | Family Medicine | Mercy Health System Corporation | 725 S Janesville St, Milton, WI 53563-1775 |
Rodney J Vanbeek | Family Medicine | Mercy Health System Corporation | 725 S Janesville St, Milton, WI 53563-1775 |
Shannon R Wixom | Nurse Practitioner | Mercy Health System Corporation | 725 S Janesville St, Milton, WI 53563-1775 |
Christopher Jon Hammer | Chiropractic | 840 Arthur Dr, Milton, WI 53563-3720 | |
Rodney A Griffis | Certified Registered Nurse Anesthetist | Edgerton Hospital and Health Services | 831 Arthur Dr, Milton, WI 53563-3728 |
Pridipon Vithespongse | General Practice | 103 W 2nd St Box, Suite 350, Hedrick, IA 53563-7769 |
City | MILTON |
Zip Code | 53563 |
Specialty | OPTOMETRY |
City + Specialty | MILTON + OPTOMETRY |
Please comment or provide details below to improve the information on Jayme Nicole Kasting 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.