Tyler Jon Long, DO in The Villages, FL

Tyler Jon Long, DO is a medicare enrolled "Dermatology" physician in The Villages, Florida. His current practice location is 3614 Kiessel Rd, The Villages, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 914-3451.

Tyler Jon Long is licensed to practice in Florida (license number 21531) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851954242.

Contact Information

	Tyler Jon Long, DO
	3614 Kiessel Rd, The Villages, FL 32163-2910
	(352) 914-3451
	Not Available

Map and Direction

Physician's Profile

Full Name	Tyler Jon Long
Gender	Male
Speciality	Dermatology
Location	3614 Kiessel Rd, The Villages, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851954242
Provider Enumeration Date: 04/21/2019
Last Update Date: 07/16/2025

Medicare PECOS Information:

PECOS PAC ID: 2961826474
Enrollment ID: I20230721000655

Medical Identifiers

Medical identifiers for Tyler Jon Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851954242	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	25MB12236700 (New Jersey)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	21531 (Florida)	Secondary
207NS0135X	Dermatology - Procedural Dermatology	21531 (Florida)	Secondary
208D00000X	General Practice	0116034370 (Virginia)	Secondary
207N00000X	Dermatology	21531 (Florida)	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. Tyler Jon Long allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210226002383

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. Tyler Jon 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
Tyler Jon Long, DO 3614 Kiessel Rd, The Villages, FL 32163-2910 Ph: (352) 914-3451	Tyler Jon Long, DO 3614 Kiessel Rd, The Villages, FL 32163-2910 Ph: (352) 914-3451

Reviews and Comments

Dermatology Doctors in The Villages, FL

Charles F Knapp Iii, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2783 Brownwood Blvd, The Villages, FL 32163 Phone: 352-834-7546
Dr. Brandon Max Markus, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2783 Brownwood Blvd, The Villages, FL 32163 Phone: 352-834-7546 Fax: 352-383-1951
David John Casper, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8620a E County Road 466, The Villages, FL 32162 Phone: 352-399-7295 Fax: 352-399-7294
Dr. Tarek S Shaath, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1040 Lake Sumter Lndg, The Villages, FL 32162 Phone: 352-218-3211 Fax: 877-699-3709
Trisha Khanna, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1580 Santa Barbara Blvd, The Villages, FL 32159 Phone: 352-516-3972
Thi Thien Tran, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1950 Laurel Manor Dr, Bldg 220 Ste 224, The Villages, FL 32162 Phone: 352-751-6565 Fax: 352-205-7777
Dr. Joanna Grace Bolton, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1050 Old Camp Rd, The Villages, FL 32162 Phone: 352-399-7295 Fax: 352-399-7294

Tyler Jon Long, DO - Medicare Dermatology in The Villages, FL