Vakendall V Long, LCSW in Memphis, TN - Medicare Social Worker Provider

Vakendall V Long, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Memphis, Tennessee. His current practice location is 951 Court Ave, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 567-3554.

Vakendall V Long is licensed to practice in Tennessee (license number 6501) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912401415.

Contact Information

	Vakendall V Long, LCSW
	951 Court Ave, Memphis, TN 38103-2813
	(901) 567-3554
	(901) 567-3559

Map and Direction

Healthcare Provider's Profile

Full Name	Vakendall V Long
Gender	Male
Speciality	Social Worker - Clinical
Location	951 Court Ave, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912401415
Provider Enumeration Date: 03/20/2018
Last Update Date: 03/20/2018

Medicare PECOS Information:

PECOS PAC ID: 1153672571
Enrollment ID: I20180925001363

Medical Identifiers

Medical identifiers for Vakendall V Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912401415	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6501 (Tennessee)	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. Vakendall V Long allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221116002565

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. Vakendall V 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
Vakendall V Long, LCSW 2220 Union Ave, Memphis, TN 38104-4315 Ph: (901) 567-3554	Vakendall V Long, LCSW 951 Court Ave, Memphis, TN 38103-2813 Ph: (901) 567-3554

Reviews and Comments

Social Worker in Memphis, TN

Mrs. Kenyetta D. Mcintosh-jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990
Mrs. Martine Patrice Johnson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Avenue, Memphis, TN 38104 Phone: 901-523-8990
Ms. Edwina Hackett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Suite 630b, Memphis, TN 38119 Phone: 901-767-1136 Fax: 901-767-0476
Ms. Annie Daniel Warren, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1331 Union Ave, Suite 930, Memphis, TN 38104 Phone: 901-550-8239
Mary Hamm, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6005 Park Ave, Memphis, TN 38119 Phone: 901-767-1136 Fax: 901-767-0476
Mrs. Pennie Smith Heath, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1840 Autumn Ave, Memphis, TN 38112 Phone: 901-725-2724 Fax: 901-725-2724
Raphael Woodall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4646 Poplar Ave Ste 302, Memphis, TN 38117 Phone: 901-930-7397

Vakendall V Long, LCSW - Medicare Clinical Social Worker in Memphis, TN