Rachel Long, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Berlin, VT
NPI 1124414271 · NPPES record last updated Jun 6, 2019
Key facts
- NPI
- 1124414271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 042.0014421 (VT)
- Practice address
- 130 Fisher Rd Ste 1-4
Berlin, VT 05602-9000 - Phone
- (802) 371-4100
- NPI assigned
- Apr 15, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Medical College of Wisconsin, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Central Vermont Medical Center Inc
Practice addresses (Care Compare)
130 Fisher Rd
Barre, VT 05641-9004
Phone (802) 371-4235
130 Fisher Rd
Mob a
Berlin, VT 05602-9516
Phone (802) 371-5961
Hospital & facility affiliations
- Central Vermont Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190724002245 | VT | Practitioner - Obstetrics/Gynecology | 9931499134 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N/A | NC | MD | Diagnostic Radiology Physician |
| 2016-02197 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Current |
Accepting new patients | |
| Central Vermont Medical Center Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Central Vermont Medical Center Inc | Past | Accepting new patients |
Locations
130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235
130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820
130 Fisher Rd
Ste 1-4
Berlin, VT 05602
Phone (802) 371-5961
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
Interoperability endpoints
- rlong122408@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2016-02197 | NC | |
| Obstetrics & Gynecology Physician | 207V00000X | 042.0014421 | VT | Yes |
Addresses
Primary practice location
130 Fisher Rd Ste 1-4
Berlin, VT 05602-9000
Mailing address
130 Fisher Rd Ste 1-4
Berlin, VT 05602-9000
Other practice location 1
119 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 771-5500 ext. 5537
Other names
- Rachel Gentile
Other providers in Berlin, VT
- Richard Libby
- Elkanah Linder
- Melissa Lindhiem
- Caroline Krumholz Linehan
- Stefan Lischke
- Jose Lopez
- Carolyn Sarah Lorenz-Greenberg
- Christopher Joseph Lukonis
- Donald F. Lynch
- Gregory J Macdonald
All providers in Berlin, VT · Obstetrics & Gynecology Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.