Mr Albert-mary Longchamp, in Tampa, FL - Medicare Nurse Practitioner

Mr Albert-mary Longchamp, is a medicare enrolled "Nurse Practitioner" in Tampa, Florida. His current practice location is 14502 N Dale Mabry Hwy Ste 200, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (800) 640-3451.

Mr Albert-mary Longchamp is licensed to practice in Florida (license number 11018757) 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 1386386043.

Contact Information

	Mr Albert-mary Longchamp,
	14502 N Dale Mabry Hwy Ste 200, Tampa, FL 33618-2040
	(800) 640-3451
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Albert-mary Longchamp
Gender	Male
Speciality	Nurse Practitioner
Location	14502 N Dale Mabry Hwy Ste 200, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386386043
Provider Enumeration Date: 04/12/2022
Last Update Date: 02/13/2024

Medicare PECOS Information:

PECOS PAC ID: 3375919269
Enrollment ID: I20221018001198

Medical Identifiers

Medical identifiers for Mr Albert-mary Longchamp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386386043	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	11018757 (Florida)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	11018757 (Florida)	Secondary
363L00000X	Nurse Practitioner	11018757 (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. Mr Albert-mary Longchamp allows following entities to bill medicare on his behalf.

Entity Name	Honestar Wound Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174247811 PECOS PAC ID: 9638545817 Enrollment ID: O20221012002914

Entity Name	Spencer J Hardenbrook Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073909594 PECOS PAC ID: 2062733546 Enrollment ID: O20240430004152

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. Mr Albert-mary Longchamp 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
Mr Albert-mary Longchamp, 811 Dateland Rd Se, Palm Bay, FL 32909-6681 Ph: (954) 547-9618	Mr Albert-mary Longchamp, 14502 N Dale Mabry Hwy Ste 200, Tampa, FL 33618-2040 Ph: (800) 640-3451

Reviews and Comments

Nurse Practitioner Nurses in Tampa, FL

Charmaine Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808
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Ms. Rhea Arlene Hurwitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 W Martin Luther King Boulevard, Tampa, FL 33607 Phone: 813-554-8511
Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401
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Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631

Mr Albert-mary Longchamp, - Medicare Nurse Practitioner in Tampa, FL