Mrs Nicole Marie Longoria, PA - Physician Assistant in Raleigh, NC

Mrs Nicole Marie Longoria, PA is a Physician Assistant based in Raleigh, North Carolina. Mrs Nicole Marie Longoria is licensed to practice in Kentucky (license number 1084959) and her current practice location is 10207 Cerny St, Suite 312, Raleigh, North Carolina. She can be reached at her office (for appointments etc.) via phone at (919) 670-0302.

NPI number for Mrs Nicole Marie Longoria is 1497994529 and her current mailing address is 4355 Lyman Ave, Raleigh, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497994529.

Contact Information

Mrs Nicole Marie Longoria, PA
10207 Cerny St, Suite 312,
Raleigh, NC 27617-4879
(919) 670-0302
Not Available

Map and Direction




Provider's Profile

Full NameMrs Nicole Marie Longoria
GenderFemale
SpecialityPhysician Assistant
Location10207 Cerny St, Raleigh, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1497994529
  • Provider Enumeration Date: 02/12/2009
  • Last Update Date: 01/05/2017

Medical Identifiers

Medical identifiers for Mrs Nicole Marie Longoria such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497994529NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1084959 (Kentucky)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. Mrs Nicole Marie Longoria is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Nicole Marie Longoria, PA
4355 Lyman Ave,
Raleigh, NC 27616-8460

Ph: (931) 302-0026
Mrs Nicole Marie Longoria, PA
10207 Cerny St, Suite 312,
Raleigh, NC 27617-4879

Ph: (919) 670-0302

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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