Evonne Marie Long, AUD in Jacksonville, FL - Medicare Audiologist Provider

Evonne Marie Long, AUD is a medicare enrolled "Audiologist" provider in Jacksonville, Florida. Her current practice location is 1010 N Davis St Ste 101, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 355-3403.

Evonne Marie Long is licensed to practice in Florida (license number AY1974) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124497987.

Contact Information

	Evonne Marie Long, AUD
	1010 N Davis St Ste 101, Jacksonville, FL 32209
	(904) 355-3403
	(904) 355-4149

Map and Direction

Healthcare Provider's Profile

Full Name	Evonne Marie Long
Gender	Female
Speciality	Audiologist
Location	1010 N Davis St Ste 101, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124497987
Provider Enumeration Date: 09/22/2015
Last Update Date: 10/18/2024

Medicare PECOS Information:

PECOS PAC ID: 2163719584
Enrollment ID: I20230524002358

Medical Identifiers

Medical identifiers for Evonne Marie Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124497987	NPI	-	NPPES
019346100	Medicaid	FL
AY1974	Other	FL	STATE LICENSING BOARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	7987 (South Carolina)	Secondary
231H00000X	Audiologist	AY1974 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Evonne Marie Long allows following entities to bill medicare on her behalf.

Provider Name	Special Care Hearing Of Pennsylvania, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124445424 PECOS PAC ID: 7517285620 Enrollment ID: O20150421000342

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evonne Marie Long is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Evonne Marie Long, AUD 1010 N Davis St Ste 101, Jacksonville, FL 32209-6808 Ph: (904) 355-3403	Evonne Marie Long, AUD 1010 N Davis St Ste 101, Jacksonville, FL 32209 Ph: (904) 355-3403

Reviews and Comments

Audiologist in Jacksonville, FL

Dr. Martha Meyers, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 751 Oak St, Jacksonville, FL 32204 Phone: 904-318-8342
Millicent Garry, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Meg Frances Schwalm, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1536 N Jefferson St, Jacksonville, FL 32209 Phone: 904-470-6900
Jacksonville Speech & Hearing Center, Inc. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1128 N Laura St, Jacksonville, FL 32206 Phone: 904-355-3403 Fax: 904-355-4149
Mrs. Carol Elizabeth Gischia, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2005 Knight Lane Bldg H, Navy Medicine Support Command, Jacksonville, FL 32212 Phone: 904-542-7200
Kimberly Greenwood Johnson, AUDIOLOGIST Audiologist Medicare: Accepting Medicare Assignments Practice Location: 653 W 8th St, Ufjax - Dept. Of Surgery/otolaryngology, Jacksonville, FL 32209 Phone: 904-244-7463 Fax: 904-244-7730
Courtney Luffler, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Evonne Marie Long, AUD - Medicare Audiologist in Jacksonville, FL