Mr Herold Scott Osborne, PA-C - Medicare Physician Assistant in Longview, TX

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Mr Herold Scott Osborne, PA-C is a medicare enrolled "Physician Assistant - Medical" in Longview, Texas. He graduated from nursing school in 1999 and has 27 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Oliver Street 5.01(a) Inc and his current practice location is 3535 N Fourth St Ste 400, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 757-3881.

Mr Herold Scott Osborne is licensed to practice in Texas (license number PA01750) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710999727.

Contact Information

Mr Herold Scott Osborne, PA-C
3535 N Fourth St Ste 400,
Longview, TX 75605-0038
(903) 757-3881
(903) 757-5948

Map and Direction




Provider's Profile

Full NameMr Herold Scott Osborne
GenderMale
SpecialityPhysician Assistant
Experience27 Years
Location3535 N Fourth St Ste 400, Longview, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Herold Scott Osborne graduated from nursing school in 1999
  NPI Data:
  • NPI Number: 1710999727
  • Provider Enumeration Date: 08/12/2006
  • Last Update Date: 03/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2567559099
  • Enrollment ID: I20100618000189

Medical Identifiers

Medical identifiers for Mr Herold Scott Osborne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710999727NPI-NPPES
PA01750OtherTXSTATE PA LICENSE
8L27392OtherTXMEDICARE INDIVIDUAL PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA01750 (Texas)Secondary
363AM0700XPhysician Assistant - Medical PA01750 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oliver Street 5.01(a) Inc0042464125169

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. Mr Herold Scott Osborne allows following entities to bill medicare on his behalf.
Entity NameWallis Dermatology Associates PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396945234
PECOS PAC ID: 0749440188
Enrollment ID: O20120322000343
Entity NameOliver Street 5.01(a) Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457695413
PECOS PAC ID: 0042464125
Enrollment ID: O20130128000189

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. Mr Herold Scott Osborne 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
Mr Herold Scott Osborne, PA-C
3535 N Fourth St Ste 400,
Longview, TX 75605-0038

Ph: (903) 757-3881		Mr Herold Scott Osborne, PA-C
3535 N Fourth St Ste 400,
Longview, TX 75605-0038

Ph: (903) 757-3881

Reviews and Comments


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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.