Kelly Lynn Long, PA-C - Medicare Physician Assistant in Plymouth, MI

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Kelly Lynn Long, PA-C is a medicare enrolled "Physician Assistant - Medical" in Plymouth, Michigan. She graduated from nursing school in 1999 and has 27 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Michigan Infusion Services And Licensed Healthcare and her current practice location is 500 Ross St, Plymouth, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 341-7767.

Kelly Lynn Long is licensed to practice in Michigan (license number 5601003518) 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 1568623338.

Contact Information

Kelly Lynn Long, PA-C
500 Ross St,
Plymouth, MI 48170-2206
(734) 341-7767
(734) 893-3131

Map and Direction




Provider's Profile

Full NameKelly Lynn Long
GenderFemale
SpecialityPhysician Assistant
Experience27 Years
Location500 Ross St, Plymouth, 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:
  • Kelly Lynn Long graduated from nursing school in 1999
  NPI Data:
  • NPI Number: 1568623338
  • Provider Enumeration Date: 06/24/2008
  • Last Update Date: 05/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8527284330
  • Enrollment ID: I20170720001137

Medical Identifiers

Medical identifiers for Kelly Lynn Long such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568623338NPI-NPPES
5601003518OtherMIMICHIGAN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 5601003518 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Corewell Health William Beaumont University HospitRoyal oak, MIHospital
Trinity Health Ann Arbor HospitalYpsilanti, MIHospital
Corewell Health Beaumont Troy HospitalTroy, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Michigan Infusion Services And Licensed Healthcare08406743214

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. Kelly Lynn Long allows following entities to bill medicare on her behalf.
Entity NameSoutheast Michigan Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346695202
PECOS PAC ID: 4587948302
Enrollment ID: O20170222002953
Entity NameInternational Therapy Solutions PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093254120
PECOS PAC ID: 9739463084
Enrollment ID: O20170303002038
Entity NameMichigan Infusion Services and Licensed Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164168126
PECOS PAC ID: 0840674321
Enrollment ID: O20220901000620

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. Kelly Lynn 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
Kelly Lynn Long, PA-C
500 Ross St,
Plymouth, MI 48170-2206

Ph: (734) 341-7767		Kelly Lynn Long, PA-C
500 Ross St,
Plymouth, MI 48170-2206

Ph: (734) 341-7767

Reviews and Comments


Physician Assistant Nurses in Plymouth, MI

Miss Hayat M Dabaja, PA-C
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Phone: 800-653-6568    Fax: 313-876-1305
William Andrew Graham, PHYSICIAN ASSISTANT
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Practice Location: 41424 Ann Arbor Rd E, Plymouth, MI 48170
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Emily N Zoroya, PA
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Phone: 734-928-1600    Fax: 734-732-4908
Kathryn Marie Poulos,
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Nathaniel Lambie,
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Phone: 734-927-5335    
Elizabeth Ashley Kozak, PA-C
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Practice Location: 15474 N Haggerty Rd, Plymouth, MI 48170
Phone: 734-335-6103    Fax: 630-734-4715
Dennis W Kabaczy, PA
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Phone: 734-254-0665    Fax: 734-254-0667

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.