Benjamin Long, MD in Odessa, TX - Medicare Pediatrics

Benjamin Long, MD is a medicare enrolled "Pediatrics" physician in Odessa, Texas. His current practice location is 520 E 6th St, Odessa, Texas. You can reach out to his office (for appointments etc.) via phone at (432) 582-8000.

Benjamin Long is licensed to practice in Texas (license number V9055) 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 1710310289.

Contact Information

	Benjamin Long, MD
	520 E 6th St, Odessa, TX 79761-4527
	(432) 582-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Benjamin Long
Gender	Male
Speciality	Pediatrics
Location	520 E 6th St, Odessa, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710310289
Provider Enumeration Date: 08/19/2013
Last Update Date: 08/12/2025

Medicare PECOS Information:

PECOS PAC ID: 4486079340
Enrollment ID: I20200810001056

Medical Identifiers

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

Identifier	Type	State	Issuer
1710310289	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080S0012X	Pediatrics - Sleep Medicine	31403 (Nebraska)	Secondary
208000000X	Pediatrics	V9055 (Texas)	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. Benjamin 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
Benjamin Long, MD 1301 Concord Ter, Sunrise, FL 33323-2843 Ph: () -	Benjamin Long, MD 520 E 6th St, Odessa, TX 79761-4527 Ph: (432) 582-8000

Reviews and Comments

Pediatrics Doctors in Odessa, TX

Dr. Carlos Nieto Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1500 Fax: 432-335-1537
Dr. Stephanie Villarreal, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-2222
Olajide A Sowemimo, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Texas Tech University Health Sciences Complex, 701 West 5th Street, Odessa, TX 79763 Phone: 432-703-6310
Manisha Mahadev Desai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 29 Dolores Ct, Odessa, TX 79765 Phone: 432-561-8797
Randa N. A Othman, M.D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1421 Fax: 432-335-1807
Dr. Venkataramana P. Garikiparthy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5150
Manjula Mudduluru, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5310 Fax: 432-335-5354

Benjamin Long, MD - Medicare Pediatrics in Odessa, TX