Christine Marie Longo, DO is a medicare enrolled "Military Health Care Provider" physician in Dyess Afb, Texas. Her current practice location is
697 Louisiana Rd, Dyess Afb, Texas. You can reach out to her office (for appointments etc.) via phone at
(253) 696-3320.
Christine Marie Longo is licensed to practice in Nebraska (license number 1946) 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 1013437268.
Physician's Profile
Full Name | Christine Marie Longo |
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Gender | Female |
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Speciality | Military Health Care Provider |
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Location | 697 Louisiana Rd, Dyess Afb, 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: 1013437268
- Provider Enumeration Date: 06/20/2017
- Last Update Date: 08/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 6002180551
- Enrollment ID: I20170921001665
Medical Identifiers
Medical identifiers for Christine Marie Longo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013437268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 7934 (Nebraska) | Secondary |
171000000X | Military Health Care Provider | 1946 (Nebraska) | Primary |
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. Christine Marie Longo 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 |
Christine Marie Longo, DO 697 Louisiana Rd, Dyess Afb, TX 79607-1141 Ph: (325) 696-4677 | Christine Marie Longo, DO 697 Louisiana Rd, Dyess Afb, TX 79607-1141 Ph: (253) 696-3320 |
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