Dr Amanda Nicole Long, DO in Tyler, TX

Dr Amanda Nicole Long, DO is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Tyler, Texas. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Endocrinology. She is a member of the group practice Christus Trinity Clinic and her current practice location is 619 S Fleishel Ave, Ste 327, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 510-1173.

Dr Amanda Nicole Long is licensed to practice in Texas (license number P2894) 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 1013129931.

Contact Information

	Dr Amanda Nicole Long, DO
	619 S Fleishel Ave, Ste 327, Tyler, TX 75701-2004
	(903) 510-1173
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Amanda Nicole Long
Gender	Female
Speciality	Endocrinology
Experience	17 Years
Location	619 S Fleishel Ave, Tyler, Texas
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:

Dr Amanda Nicole Long graduated from medical school in 2007

NPI Data:

NPI Number: 1013129931
Provider Enumeration Date: 05/04/2007
Last Update Date: 02/09/2024

Medicare PECOS Information:

PECOS PAC ID: 8628234952
Enrollment ID: I20120731000617

Medical Identifiers

Medical identifiers for Dr Amanda Nicole Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013129931	NPI	-	NPPES
302066101	Medicaid	TX
752616977012	Other	TX	TRICARE
8DF550	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	P2894 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Mother Frances Hospital	Tyler, TX	Hospital
Christus Mother Frances Hospital- Jacksonville	Jacksonville, TX	Hospital
Christus Good Shepherd Medical Center	Longview, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1227

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. Dr Amanda Nicole Long allows following entities to bill medicare on her behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

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. Dr Amanda Nicole 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
Dr Amanda Nicole Long, DO Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450	Dr Amanda Nicole Long, DO 619 S Fleishel Ave, Ste 327, Tyler, TX 75701-2004 Ph: (903) 510-1173

Reviews and Comments

Internal Medicine Doctors in Tyler, TX

Ifeatu Uchenna Oti, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Preetham Reddy Muskula, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Dr. Varalaxmi Bhavani Nannaka, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 912 S Fleishel Ave, Tyler, TX 75701 Phone: 903-592-6901
David A Brickey, DO Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914
Randy Craig Randall, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 1783 Troup Highway, Tyler, TX 75701 Phone: 903-595-2283 Fax: 903-595-1063
Nabeel K Ahmed, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128

Dr Amanda Nicole Long, DO - Medicare Endocrinology in Tyler, TX