Skylar Long, PA is a medicare enrolled "Physician Assistant" physician in Los Angeles, California. 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 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 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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Location | 12414 Exposition Blvd, Los Angeles, California |
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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: 1619659539
- Provider Enumeration Date: 08/01/2023
- Last Update Date: 04/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 8224483789
- Enrollment ID: I20231018002706
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 |
207RH0003X | Internal Medicine - Hematology & Oncology | PA62967 (California) | Secondary |
363A00000X | Physician Assistant | 62967 (California) | 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. 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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