Kathleen Long, PA-C - Medicare Physician Assistant in Wyandotte, MI

  1. Home
  2. Physician Assistant
  3. MI
  4. Wyandotte
Kathleen Long, PA-C is a medicare enrolled "Physician Assistant" in Wyandotte, Michigan. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Henry Ford Macomb Hospital Corporation, Henry Ford Wyandotte Hospital, Henry Ford Health System and her current practice location is 2070 Biddle Ave Ste 2, Wyandotte, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 225-9100.

Kathleen Long is licensed to practice in Michigan (license number 5601011817) 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 1245961002.

Contact Information

Kathleen Long, PA-C
2070 Biddle Ave Ste 2,
Wyandotte, MI 48192-4080
(734) 225-9100
Not Available

Map and Direction




Provider's Profile

Full NameKathleen Long
GenderFemale
SpecialityPhysician Assistant
Experience3 Years
Location2070 Biddle Ave Ste 2, Wyandotte, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathleen Long graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1245961002
  • Provider Enumeration Date: 06/22/2022
  • Last Update Date: 03/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2264891522
  • Enrollment ID: I20230705000369

Medical Identifiers

Medical identifiers for Kathleen Long such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245961002NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601011817 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford Health West Bloomfield HospitalWest bloomfield, MIHospital
Henry Ford Health HospitalDetroit, MIHospital
Henry Ford Health Macomb HospitalClinton township, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry Ford Macomb Hospital Corporation7911808381349
Henry Ford Wyandotte Hospital2264334499194
Henry Ford Health System05471783112550

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. Kathleen Long allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811073901
PECOS PAC ID: 0547178311
Enrollment ID: O20031210001052
Entity NameHenry Ford Macomb Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134265986
PECOS PAC ID: 7911808381
Enrollment ID: O20040119000142
Entity NameHenry Ford Wyandotte Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457586646
PECOS PAC ID: 2264334499
Enrollment ID: O20040227000431

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. Kathleen 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 AddressPractice Location Address
Kathleen Long, PA-C
1 Ford Pl Ste 3a,
Detroit, MI 48202-3450

Ph: Not Available		Kathleen Long, PA-C
2070 Biddle Ave Ste 2,
Wyandotte, MI 48192-4080

Ph: (734) 225-9100

Reviews and Comments


Physician Assistant Nurses in Wyandotte, MI

Marissa Gabrielle Romo, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192
Phone: 734-246-6000    
Dr. Ibrahim Hussein Dabaja, PA-C, PH.D.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1768 Ford Ave, Wyandotte, MI 48192
Phone: 313-377-5758    Fax: 734-574-6060
Alyssa Christie,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192
Phone: 735-246-6000    
Kayla Gacioch, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2300 Biddle Ave Ste 100, Wyandotte, MI 48192
Phone: 734-246-5705    
Kaitlin Elizabeth Flaherty, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192
Phone: 734-246-6000    
Vanessa Varma, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2025 Ford Ave, Ste. 100, Wyandotte, MI 48192
Phone: 586-612-3556    
Alexis Alicia Hernandez, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2070 Biddle Ave, Wyandotte, MI 48192
Phone: 734-246-6000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.