Mary K Long, PA in Jacksonville, FL - Medicare Physician Assistant

Mary K Long, PA is a medicare enrolled "Physician Assistant" in Jacksonville, Florida. Her current practice location is 2627 Riverside Ave Ste 300, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 634-0640.

Mary K Long is licensed to practice in Florida (license number PA0003154) 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 1497840326.

Contact Information

	Mary K Long, PA
	2627 Riverside Ave Ste 300, Jacksonville, FL 32204-4717
	(904) 634-0640
	(904) 634-0203

Map and Direction

Provider's Profile

Full Name	Mary K Long
Gender	Female
Speciality	Physician Assistant
Location	2627 Riverside Ave Ste 300, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497840326
Provider Enumeration Date: 10/04/2006
Last Update Date: 10/22/2020

Medicare PECOS Information:

PECOS PAC ID: 1850484445
Enrollment ID: I20070912000891

Medical Identifiers

Medical identifiers for Mary K Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497840326	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA0003154 (Florida)	Primary

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. Mary K 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
Mary K Long, PA 6500 Bowden Rd Ste 103, Jacksonville, FL 32216-8066 Ph: (904) 634-0640	Mary K Long, PA 2627 Riverside Ave Ste 300, Jacksonville, FL 32204-4717 Ph: (904) 634-0640

Reviews and Comments

Physician Assistant Nurses in Jacksonville, FL

Katherine L Walsh, PA-C/MPH Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
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Rachel Lahav, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4123 University Blvd S, Ste B, Jacksonville, FL 32216 Phone: 904-636-9100 Fax: 904-636-9102
Samantha Steele, Physician Assistant Medicare: Medicare Enrolled Practice Location: 12398 Wavyleaf Ct, Jacksonville, FL 32225 Phone: 443-758-3656

Mary K Long, PA - Medicare Physician Assistant in Jacksonville, FL