Alexandrea Shaniece Long, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Killeen, Texas. She went to Texas A & M University System, Hsc, College Of Medicine and graduated in 2017 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sondermind Provider Network Llc and her current practice location is
4403 Colonel Dr, Killeen, Texas. You can reach out to her office (for appointments etc.) via phone at
(713) 382-0884.
Alexandrea Shaniece Long is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912618950.
Healthcare Provider's Profile
| Full Name | Alexandrea Shaniece Long |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 9 Years |
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| Location | 4403 Colonel Dr, Killeen, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Alexandrea Shaniece Long attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 2017
NPI Data:
- NPI Number: 1912618950
- Provider Enumeration Date: 12/12/2022
- Last Update Date: 01/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870963358
- Enrollment ID: I20221227000890
Medical Identifiers
Medical identifiers for Alexandrea Shaniece Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912618950 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 63724 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Sondermind Provider Network Llc | 9537572490 | 874 |
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. Alexandrea Shaniece Long allows following entities to bill medicare on her behalf.
| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
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| Entity Name | Us Multi-specialty Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619526902 PECOS PAC ID: 6002213329 Enrollment ID: O20210929000098 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
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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. Alexandrea Shaniece 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 |
Alexandrea Shaniece Long, LCSW 4403 Colonel Dr, Killeen, TX 76549-0069 Ph: (713) 382-0884 | Alexandrea Shaniece Long, LCSW 4403 Colonel Dr, Killeen, TX 76549-0069 Ph: (713) 382-0884 |
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