| Kyle David Long, PA-C | |
|
825 Fairfax Ave Unit 310, Norfolk, VA 23507-1914 | |
| (757) 238-4497 | |
| Not Available |
| Full Name | Kyle David Long |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 825 Fairfax Ave Unit 310, Norfolk, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144781576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110006768 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 0110006758 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Mission Hospital And Asheville Surgery Ce | Asheville, NC | Hospital |
| Cjw Medical Center | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Trauma Services Llc | 3971985938 | 92 |
| Mission Health Community Multispecialty Providers Llc | 9537468574 | 601 |
| Urgent Specialty Associates Pllc | 7618235995 | 56 |
| Entity Name | Smh Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346295292 PECOS PAC ID: 1355240177 Enrollment ID: O20031231000211 |
| Entity Name | Florida Trauma Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477296952 PECOS PAC ID: 3971985938 Enrollment ID: O20220808001578 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle David Long, PA-C 4701 Lake Shore Dr, Chesapeake, VA 23321-1383 Ph: (757) 803-4806 | Kyle David Long, PA-C 825 Fairfax Ave Unit 310, Norfolk, VA 23507-1914 Ph: (757) 238-4497 |
Zena Coreen Longvall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 844 Kempsville Rd Ste 212, Norfolk, VA 23502 Phone: 757-261-5977 Fax: 757-275-9913 |
Ryan Sadinski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507 Phone: 757-388-3198 |
Hailey Marie Hughes, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9545 Shore Dr, Norfolk, VA 23518 Phone: 757-785-4861 |
Mr. Philip John Dauernheim, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1721 Taussig Blvd., Norfolk, VA 23511 Phone: 757-314-6401 |
Jibiao Huang, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 202a, Norfolk, VA 23507 Phone: 757-252-9140 |
Katherine Ashley Woodward, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 844 Kempsville Rd Ste 204, Norfolk, VA 23502 Phone: 757-261-0700 Fax: 757-261-0701 |
Jordan Jackson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6379 Center Dr, Norfolk, VA 23502 Phone: 757-467-5967 |