David Sean Longley, FNP-C is a medicare enrolled "Nurse Practitioner" in Coleman, Texas. His current practice location is
310 S Pecos St Fl 2, Coleman, Texas. You can reach out to his office (for appointments etc.) via phone at
(325) 625-3533.
David Sean Longley is licensed to practice in Texas (license number 683182) 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 1265559645.
Provider's Profile
| Full Name | David Sean Longley |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 310 S Pecos St Fl 2, Coleman, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265559645
- Provider Enumeration Date: 03/23/2007
- Last Update Date: 12/22/2011
Medicare PECOS Information:
- PECOS PAC ID: 4082798764
- Enrollment ID: I20080220000436
Medical Identifiers
Medical identifiers for David Sean Longley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265559645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 683182 (Texas) | 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. David Sean Longley allows following entities to bill medicare on his behalf.
| Entity Name | Preferred Hospital Leasing Coleman Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275938714
PECOS PAC ID: 4789574724
Enrollment ID: O20040319000688 |
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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. David Sean Longley 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 |
|---|
David Sean Longley, FNP-C
P.o. Box 312,
Coleman, TX 76834
Ph: (325) 625-3533 | David Sean Longley, FNP-C
310 S Pecos St Fl 2,
Coleman, TX 76834-4159
Ph: (325) 625-3533 |
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