Data Longjohn, MD in Wyandanch, NY - Medicare Internal Medicine

Data Longjohn, MD is a medicare enrolled "Internal Medicine" physician in Wyandanch, New York. She graduated from medical school in 1985 and has 40 years of diverse experience with area of expertise as Internal Medicine. Her current practice location is 1537 Straight Path, Ste102, Wyandanch, New York. You can reach out to her office (for appointments etc.) via phone at (631) 253-0270.

Data Longjohn is licensed to practice in New York (license number 211159) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215075882.

Contact Information

	Data Longjohn, MD
	1537 Straight Path, Ste102, Wyandanch, NY 11798-3414
	(631) 253-0270
	(631) 253-0273

Map and Direction

Physician's Profile

Full Name	Data Longjohn
Gender	Female
Speciality	Internal Medicine
Experience	40 Years
Location	1537 Straight Path, Wyandanch, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Data Longjohn graduated from medical school in 1985

NPI Data:

NPI Number: 1215075882
Provider Enumeration Date: 02/03/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4082503479
Enrollment ID: I20040312001315

Medical Identifiers

Medical identifiers for Data Longjohn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215075882	NPI	-	NPPES
01889129	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	211159 (New York)	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. Data Longjohn allows following entities to bill medicare on her behalf.

Entity Name	Skope Medical Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356420715 PECOS PAC ID: 2062498975 Enrollment ID: O20040706000806

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. Data Longjohn 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
Data Longjohn, MD 1537 Straight Path, Ste102, Wyandanch, NY 11798-3414 Ph: (631) 253-0270	Data Longjohn, MD 1537 Straight Path, Ste102, Wyandanch, NY 11798-3414 Ph: (631) 253-0270

Reviews and Comments

Internal Medicine Doctors in Wyandanch, NY

Dinesh Sethi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1521 Straight Path, Wyandanch, NY 11798 Phone: 631-643-3800 Fax: 631-253-4292
Arthur Calica Liclican, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1556 Straight Path, Wyandanch, NY 11798 Phone: 631-854-1700 Fax: 631-854-1786

Data Longjohn, MD - Medicare Internal Medicine in Wyandanch, NY