Alexandrea Shaniece Long, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Killeen, Texas. 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 does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 | Social Worker - Clinical |
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| Location | 4403 Colonel Dr, Killeen, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
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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