Kathryn Gray Long, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Garner, North Carolina. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Potentia Therapeutics, Llc and her current practice location is
350 New Fidelity Ct, Garner, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 258-2714.
Kathryn Gray Long is licensed to practice in Virginia (license number 2305211480) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1194244277.
Physician's Profile
| Full Name | Kathryn Gray Long |
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| Gender | Female |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 5 Years |
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| Location | 350 New Fidelity Ct, Garner, North Carolina |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kathryn Gray Long graduated from medical school in 2019
NPI Data:
- NPI Number: 1194244277
- Provider Enumeration Date: 09/11/2017
- Last Update Date: 11/09/2018
Medicare PECOS Information:
- PECOS PAC ID: 9739446303
- Enrollment ID: I20210209000794
Medical Identifiers
Medical identifiers for Kathryn Gray Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194244277 | NPI | - | NPPES |
| 2305211480 | Other | VA | COMMONWEALTH OF VIRGINIA BOARD OF PHYSICAL THERAPY LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 2305211480 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Potentia Therapeutics, Llc | 6103181888 | 15 |
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. Kathryn Gray Long allows following entities to bill medicare on her behalf.
| Entity Name | Potentia Therapeutics, Llc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1063910982
PECOS PAC ID: 6103181888
Enrollment ID: O20180530000933 |
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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. Kathryn Gray 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 |
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Kathryn Gray Long, DPT
1195 Hisey Ave,
Woodstock, VA 22664-2097
Ph: (540) 459-7772 | Kathryn Gray Long, DPT
350 New Fidelity Ct,
Garner, NC 27529-2665
Ph: (919) 258-2714 |
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