Dominique Long, APRN in Palatka, FL - Medicare Nurse Practitioner

Dominique Long, APRN is a medicare enrolled "Nurse Practitioner - Family" in Palatka, Florida. Her current practice location is 1302 River St, Palatka, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 328-8371.

Dominique Long is licensed to practice in Florida (license number 11037931) 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 1528865318.

Contact Information

	Dominique Long, APRN
	1302 River St, Palatka, FL 32177-5042
	(386) 328-8371
	Not Available

Map and Direction

Provider's Profile

Full Name	Dominique Long
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1302 River St, Palatka, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528865318
Provider Enumeration Date: 02/27/2025
Last Update Date: 02/27/2025

Medicare PECOS Information:

PECOS PAC ID: 1456874536
Enrollment ID: I20250328003414

Medical Identifiers

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

Identifier	Type	State	Issuer
1528865318	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11037931 (Florida)	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. Dominique Long allows following entities to bill medicare on her behalf.

Entity Name	Rural Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871569061 PECOS PAC ID: 7214849520 Enrollment ID: O20031219000375

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. Dominique 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
Dominique Long, APRN 1302 River St, Palatka, FL 32177-5042 Ph: () -	Dominique Long, APRN 1302 River St, Palatka, FL 32177-5042 Ph: (386) 328-8371

Reviews and Comments

Nurse Practitioner Nurses in Palatka, FL

Lindsey Fletcher, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711
Mrs. Kathleen Anne Russell, ARNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6400 Saint Johns Ave, Palatka, FL 32177 Phone: 904-279-2200
Kashanti Shanti Bowden, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6910 Old Wolf Bay Rd, Palatka, FL 32177 Phone: 386-328-7337
Jennifer Paffmann, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 Reid St, Palatka, FL 32177 Phone: 386-328-5437
Julia Loftus Weber, ARNP RNCS MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 Kay Larkin Drive, Palatka, FL 32177 Phone: 386-329-3780 Fax: 386-329-3786
Mr. Ronald Michael Wendt, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3703 Crill Ave, Palatka, FL 32177 Phone: 386-866-9100 Fax: 386-866-1900
Ms. Canisha Shanara Gillon, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 Kay Larkin Dr, Palatka, FL 32177 Phone: 386-329-3780

Dominique Long, APRN - Medicare Nurse Practitioner in Palatka, FL