Skylar Long, PA is a medicare enrolled "Physician Assistant" physician in Los Angeles, California. She graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Providence Saint Johns Medical Foundation and her current practice location is
12414 Exposition Blvd, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(310) 228-6400.
Skylar Long is licensed to practice in California (license number 62967) 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 1619659539.
Physician's Profile
| Full Name | Skylar Long |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 12414 Exposition Blvd, Los Angeles, California |
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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. |
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Medical Education and Training:
- Skylar Long graduated from medical school in 2023
NPI Data:
- NPI Number: 1619659539
- Provider Enumeration Date: 08/01/2023
- Last Update Date: 04/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 8224483789
- Enrollment ID: I20250221003376
Medical Identifiers
Medical identifiers for Skylar Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619659539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RH0003X | Internal Medicine - Hematology & Oncology | PA62967 (California) | Secondary |
| 363A00000X | Physician Assistant | 62967 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Providence Saint Johns Medical Foundation | 0840548624 | 256 |
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. Skylar 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 |
|---|
Skylar Long, PA
12414 Exposition Blvd,
Los Angeles, CA 90064-1016
Ph: (310) 228-6400 | Skylar Long, PA
12414 Exposition Blvd,
Los Angeles, CA 90064-1016
Ph: (310) 228-6400 |
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