Alexandrea Shaniece Long, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Killeen, Texas. Her current practice location is
4403 Colonel Dr, Killeen, Texas. You can reach out to her office (for appointments etc.) via phone at
(713) 382-0884.
Alexandrea Shaniece Long is licensed to practice in * (Not Available) (license number ) 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 1912618950.
Healthcare Provider's Profile
Full Name | Alexandrea Shaniece Long |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4403 Colonel Dr, Killeen, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912618950
- Provider Enumeration Date: 12/12/2022
- Last Update Date: 01/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870963358
- Enrollment ID: I20221227000890
Medical Identifiers
Medical identifiers for Alexandrea Shaniece Long such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912618950 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 63724 (Texas) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Alexandrea Shaniece Long allows following entities to bill medicare on her behalf.
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
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Entity Name | Us Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619526902 PECOS PAC ID: 6002213329 Enrollment ID: O20210929000098 |
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Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
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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. Alexandrea Shaniece 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 |
Alexandrea Shaniece Long, LCSW 4403 Colonel Dr, Killeen, TX 76549-0069 Ph: (713) 382-0884 | Alexandrea Shaniece Long, LCSW 4403 Colonel Dr, Killeen, TX 76549-0069 Ph: (713) 382-0884 |
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