Stafford R Long, PA-C in Shreveport, LA - Medicare Physician Assistant

Stafford R Long, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Shreveport, Louisiana. His current practice location is 2751 Albert L Bicknell Dr, Suite 1-b, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 212-8776.

Stafford R Long is licensed to practice in Louisiana (license number PA A10311) 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 1851343396.

Contact Information

	Stafford R Long, PA-C
	2751 Albert L Bicknell Dr, Suite 1-b, Shreveport, LA 71103-3920
	(318) 212-8776
	(318) 212-8774

Map and Direction

Provider's Profile

Full Name	Stafford R Long
Gender	Male
Speciality	Physician Assistant - Surgical
Location	2751 Albert L Bicknell Dr, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851343396
Provider Enumeration Date: 05/16/2006
Last Update Date: 06/03/2021

Medicare PECOS Information:

PECOS PAC ID: 9133011430
Enrollment ID: I20061107000422

Medical Identifiers

Medical identifiers for Stafford R Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851343396	NPI	-	NPPES
1722928	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA.A10311 (Louisiana)	Secondary
363AS0400X	Physician Assistant - Surgical	PA A10311 (Louisiana)	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. Stafford R 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
Stafford R Long, PA-C 2751 Albert L Bicknell Dr, Suite 1-b, Shreveport, LA 71103-3920 Ph: (318) 212-8776	Stafford R Long, PA-C 2751 Albert L Bicknell Dr, Suite 1-b, Shreveport, LA 71103-3920 Ph: (318) 212-8776

Reviews and Comments

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Stafford R Long, PA-C - Medicare Physician Assistant in Shreveport, LA