Matthew S Long (NPI# 1093707945, PAC ID# 2567658859) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1093707945 |
| PAC ID by PECOS | 2567658859 |
| Professional Enrollment ID | I20101129000830 |
| Full Name | Matthew S Long |
| Organization Legal Name | JACKSON CLINIC PA |
| Address |
2859 Hwy 45 Byp Jackson TN 38305-3618 |
| Phone Number | 7316641375 |
| Gender | M |
| Graduation Year | 1989 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2668376872 |
| Number of Group Practice Members | 173 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440060 | MILAN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2859 Hwy 45 Byp, Jackson, TN 38305-3618 | 7316641375 | JACKSON CLINIC PA |
| 2863 Hwy 45 Byp, Jackson, TN 38305-3618 | 7316641375 | JACKSON CLINIC PA |
| 36 Brentshire Sq, Jackson, TN 38305-2245 | 9016641717 | WEST TENNESSEE ANESTHESIA, PC |
| 87 Murray Guard Dr, B, Jackson, TN 38305-3775 | 7316641375 | JACKSON CLINIC PA |
| 4039 Highland St, Milan, TN 38358-3483 | 7316861591 | WEST TENNESSEE ANESTHESIA, PC |
| 969 S Tennessee Ave, Parsons, TN 38363-3700 | 7318473031 | WEST TENNESSEE ANESTHESIA, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_426_overall | Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 100% | |
| MIPS_EC_426_overall | Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 100% | |
| QCDR_EC_ABG21_overall | Pre-operative OSA assessment | 100% | |
| QCDR_EC_ABG21_overall | Pre-operative OSA assessment | 100% |
| Organization Legal Name | JACKSON CLINIC PA |
| Physicians | 183 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey B Dexter | Endocrinology | Jackson Clinic Pa | 2863 Hwy 45 Byp, Jackson, TN 38305-3618 |
| Katherine Wyatt | Nurse Practitioner | Jackson Clinic Pa | 2859 Hwy 45 Byp, Jackson, TN 38305-3618 |
| Anna E Burgess | Family Medicine | Jackson Clinic Pa | 87 Murray Guard Dr, B, Jackson, TN 38305-3775 |
| John W Baker | Interventional Cardiology | Jackson Clinic Pa | 1700 Woodlawn Ave, Dyersburg, TN 38024-2028 |
| Todd A Teague | Internal Medicine | Jackson Clinic Pa | 1863 S Highland Ave, Jackson, TN 38301-7799 |
| Timothy R Crossett | Diagnostic Radiology | Jackson Clinic Pa | 2859 Hwy 45 Byp, Jackson, TN 38305-3618 |
| Ernesto P Chioco | Internal Medicine | Jackson Clinic Pa | 2859 Hwy 45 Byp, Jackson, TN 38305-3618 |
| Matthew T Graham | Diagnostic Radiology | Jackson Clinic Pa | 2859 Hwy 45 Byp, Jackson, TN 38305-3618 |
| Kellie L Wallace-wilding | Family Medicine | Jackson Clinic Pa | 2859 Hwy 45 Byp, Jackson, TN 38305-3618 |
| Faust Ditah | Gastroenterology | Jackson Clinic Pa | 2859 Hwy 45 Byp, Jackson, TN 38305-3618 |
| Street Address |
2859 HWY 45 BYP |
| City | JACKSON |
| State | TN |
| Zip | 38305-3618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Wyatt | Nurse Practitioner | Jackson Clinic Pa | 2859 Hwy 45 Byp, Jackson, TN 38305-3618 |
| Timothy R Crossett | Diagnostic Radiology | Jackson Clinic Pa | 2859 Hwy 45 Byp, Jackson, TN 38305-3618 |
| Ernesto P Chioco | Internal Medicine | Jackson Clinic Pa | 2859 Hwy 45 Byp, Jackson, TN 38305-3618 |
| Matthew T Graham | Diagnostic Radiology | Jackson Clinic Pa | 2859 Hwy 45 Byp, Jackson, TN 38305-3618 |
| Kellie L Wallace-wilding | Family Medicine | Jackson Clinic Pa | 2859 Hwy 45 Byp, Jackson, TN 38305-3618 |
| Faust Ditah | Gastroenterology | Jackson Clinic Pa | 2859 Hwy 45 Byp, Jackson, TN 38305-3618 |
| John J Ball | Obstetrics/gynecology | Jackson Clinic Pa | 2859 Hwy 45 Byp, Jackson, TN 38305-3618 |
| Marcie M Daniel | Optometry | Jackson Clinic Pa | 2859 Hwy 45 Byp, Jackson, TN 38305-3618 |
| Kenneth Hutchinson | Certified Registered Nurse Anesthetist (crna) | Jackson Clinic Pa | 2859 Hwy 45 Byp, Jackson, TN 38305-3618 |
| William A Preston | Otolaryngology | Jackson Clinic Pa | 2859 Hwy 45 Byp, Jackson, TN 38305-3618 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Pickering | Psychologist, Clinical | 367 B N Pkwy, Suite 1, Jackson, TN 38305 | |
| Tammy M Griffis | Nurse Practitioner | Primary Care Clinic of Jackson | 1430 Union University Dr, Suite B, Jackson, TN 38305-0001 |
| Kathy M O'connor-wray | Nurse Practitioner | Primary Care Clinic of Jackson | 1430 Union University Dr, Suite B, Jackson, TN 38305-0001 |
| Rebecca Ann Hamilton | Nurse Practitioner | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
| Elizabeth S Londino | Family Medicine | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
| Marion J Scott | Nurse Practitioner | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
| Timothy W Hayden | Family Medicine | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
| Diane H Wright | Clinical Social Worker | Starting Place LLC | 180 W University Pkwy H, Jackson, TN 38305-1612 |
| Richard Murphy Spring | Psychologist, Clinical | 156 W University Pkwy, Suite B, Jackson, TN 38305-1617 | |
| Steven Anthony Sopcak | Chiropractic | 156 W University Pkwy, Suite A, Jackson, TN 38305-1617 | |
| Find all physicians in zip 38305 | |||
| City | JACKSON |
| Zip Code | 38305 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | JACKSON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Matthew S 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.