Ms Mallory Breanne Long, DPT in Jonesboro, AR - Medicare Physical Medicine & Rehabilitation

Ms Mallory Breanne Long, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Jonesboro, Arkansas. Her current practice location is 1107 E Matthews Ave Ste 100, Jonesboro, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 933-6393.

Ms Mallory Breanne Long is licensed to practice in Arkansas (license number 5281) 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 1396438974.

Contact Information

	Ms Mallory Breanne Long, DPT
	1107 E Matthews Ave Ste 100, Jonesboro, AR 72401-4331
	(870) 933-6393
	(870) 933-6763

Map and Direction

Physician's Profile

Full Name	Ms Mallory Breanne Long
Gender	Female
Speciality	Physical Medicine & Rehabilitation
Location	1107 E Matthews Ave Ste 100, Jonesboro, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396438974
Provider Enumeration Date: 05/31/2023
Last Update Date: 05/31/2023

Medicare PECOS Information:

PECOS PAC ID: 1153780002
Enrollment ID: I20230710003201

Medical Identifiers

Medical identifiers for Ms Mallory Breanne Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396438974	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	5281 (Arkansas)	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. Ms Mallory Breanne Long allows following entities to bill medicare on her behalf.

Entity Name	Tracy Jones Physical Therapy Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346473139 PECOS PAC ID: 2860547502 Enrollment ID: O20090902000398

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. Ms Mallory Breanne 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
Ms Mallory Breanne Long, DPT 1107 E Matthews Ave Ste 100, Jonesboro, AR 72401-4331 Ph: (870) 933-6393	Ms Mallory Breanne Long, DPT 1107 E Matthews Ave Ste 100, Jonesboro, AR 72401-4331 Ph: (870) 933-6393

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Jonesboro, AR

Mrs. Jordan Ramm, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1705 Latourette Ln, Jonesboro, AR 72404 Phone: 870-935-7550
Ana Milosevic Michunovich, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4800 E Johnson Ave, Jonesboro, AR 72401 Phone: 708-936-1000
Mira Zelin, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4800 E Johnson Ave, Jonesboro, AR 72401 Phone: 870-936-5040 Fax: 870-936-5039
Dr. Zhangliang Ma, MD & PHD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4802 E Johnson Ave, Jonesboro, AR 72401 Phone: 870-936-8000 Fax: 870-934-3625
Dr. Virendar Kumar Verma, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1201 Fleming Ave, Health South Rehablitation Hospital Of Jonesboro, Jonesboro, AR 72403 Phone: 870-275-6010 Fax: 870-203-0945
Aaron League, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1699 Red Wolf Blvd, Jonesboro, AR 72401 Phone: 870-336-0021

Ms Mallory Breanne Long, DPT - Medicare Physical Medicine & Rehabilitation in Jonesboro, AR