Nicholas Ian Longstreet, MD in Tyndall Afb, FL

Nicholas Ian Longstreet, MD is a medicare enrolled "Family Medicine" physician in Tyndall Afb, Florida. He graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc and his current practice location is 340 Magnolia Cir, Tyndall Afb, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 283-7232.

Nicholas Ian Longstreet is licensed to practice in Nebraska (license number 27702) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245593623.

Contact Information

	Nicholas Ian Longstreet, MD
	340 Magnolia Cir, Tyndall Afb, FL 32403-5604
	(850) 283-7232
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicholas Ian Longstreet
Gender	Male
Speciality	Family Practice
Experience	13 Years
Location	340 Magnolia Cir, Tyndall Afb, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicholas Ian Longstreet graduated from medical school in 2012

NPI Data:

NPI Number: 1245593623
Provider Enumeration Date: 06/20/2012
Last Update Date: 05/02/2022

Medicare PECOS Information:

PECOS PAC ID: 1658693023
Enrollment ID: I20220518001185

Medical Identifiers

Medical identifiers for Nicholas Ian Longstreet such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245593623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	27702 (Nebraska)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc	3779495858	1628

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. Nicholas Ian Longstreet allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

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. Nicholas Ian Longstreet 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
Nicholas Ian Longstreet, MD 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 Ph: (601) 862-3911	Nicholas Ian Longstreet, MD 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 Ph: (850) 283-7232

Reviews and Comments

Family Medicine Doctors in Tyndall Afb, FL

Dr. Jennifer Lynn Pippin, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403 Phone: 850-283-7717
Aaron James Goodrich, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 325th Medical Group, 340 Magnolia Cir, Tyndall Afb, FL 32403 Phone: 701-747-5544
Gunnar Nelson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Mdg, 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 Phone: 850-283-7700
Bruce Alan Burkett, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 325 Mdg/sgpf, 340 Magnolia Circle, Tyndall Afb, FL 32403 Phone: 850-283-7984
Dr. Robert Sebastian Kent, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403 Phone: 210-607-0399
Julian G Fiorina, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Cir # 5612, Tyndall Afb, FL 32403 Phone: 850-283-7154

Nicholas Ian Longstreet, MD - Medicare Family Practice in Tyndall Afb, FL