Brian Thomas Longwell, PSYD in Evansville, IN - Medicare Clinical Psychologist Provider

Brian Thomas Longwell, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Evansville, Indiana. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Deaconess Clinic Inc and his current practice location is 120 Se 4th St, Evansville, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 426-9862.

Brian Thomas Longwell is licensed to practice in Indiana (license number 20042512A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023694379.

Contact Information

	Brian Thomas Longwell, PSYD
	120 Se 4th St, Evansville, IN 47708-1607
	(812) 426-9862
	(812) 426-9779

Map and Direction

Healthcare Provider's Profile

Full Name	Brian Thomas Longwell
Gender	Male
Speciality	Clinical Psychologist
Experience	20 Years
Location	120 Se 4th St, Evansville, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brian Thomas Longwell graduated from medical school in 2004

NPI Data:

NPI Number: 1023694379
Provider Enumeration Date: 03/18/2021
Last Update Date: 03/31/2021

Medicare PECOS Information:

PECOS PAC ID: 5991112625
Enrollment ID: I20210325001180

Medical Identifiers

Medical identifiers for Brian Thomas Longwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023694379	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	20042512A (Indiana)	Secondary
103TC0700X	Psychologist - Clinical	20042512A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Deaconess Clinic Inc	3375610116	343

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. Brian Thomas Longwell allows following entities to bill medicare on his behalf.

Entity Name	Deaconess Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145

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. Brian Thomas Longwell 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
Brian Thomas Longwell, PSYD Po Box 1510, Evansville, IN 47706-1510 Ph: (812) 450-6815	Brian Thomas Longwell, PSYD 120 Se 4th St, Evansville, IN 47708-1607 Ph: (812) 426-9862

Reviews and Comments

Psychologist in Evansville, IN

Dr. Stacy J Blankenbuehler, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 421 Chestnut St, Evansville, IN 47713 Phone: 812-426-9779 Fax: 812-426-6610
Michelle E Mastin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3900 Washington Ave # 100, Evansville, IN 47714 Phone: 812-485-6694
Prof. Nannette Stump, PHD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3700 Washington Ave, Evansville, IN 47714 Phone: 812-485-5612 Fax: 812-485-5628
Dr. John F Ireland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 N Green River Rd, Suite 910, Evansville, IN 47715 Phone: 812-479-1916 Fax: 812-479-5014
Ms. Dawn Shaner Gable, PHD HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 819 W Franklin St, Evansville, IN 47710 Phone: 812-491-1805 Fax: 812-491-1929
Dr. Larry Dale Archer, CLINICAL PSYCHOLOGIS Psychologist Medicare: Not Enrolled in Medicare Practice Location: Evansville Va Health Care Center, 6211 E. Waterford Blvd., Evansville, IN 47715 Phone: 812-465-6202

Brian Thomas Longwell, PSYD - Medicare Psychologist in Evansville, IN