| Travis David Long, PA | |
|
2565 Enterprise Rd Ste 400, Orange City, FL 32763-8016 | |
| (321) 841-6444 | |
| (321) 842-1955 |
| Full Name | Travis David Long |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 2565 Enterprise Rd Ste 400, Orange City, Florida |
| 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 |
|---|---|---|---|
| 1104262781 | NPI | - | NPPES |
| 0089009-00 | Medicaid | FL | |
| 003135044A | Medicaid | GA | |
| 008900900 | Medicaid | FL | |
| Y0HL0 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9107114 (Florida) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA9107114 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orlando Health Medical Group Inc | 9537059084 | 2132 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis David Long, PA 2565 Enterprise Rd Ste 400, Orange City, FL 32763-8016 Ph: (321) 841-6444 | Travis David Long, PA 2565 Enterprise Rd Ste 400, Orange City, FL 32763-8016 Ph: (321) 841-6444 |
Mrs. Caroline Brooke Epstein, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2884 Wellness Ave Ste 100, Orange City, FL 32763 Phone: 386-668-2221 Fax: 386-668-2228 | |
Damaris Age, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 963 Town Center Dr Ste 100, Orange City, FL 32763 Phone: 217-238-3000 Fax: 217-238-3008 | |
Chloe Renee Weisser, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-917-5000 | |
Mr. Richard Lloyd Speicher Ii, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2575 S Volusia Ave, Suite 300, Orange City, FL 32763 Phone: 386-774-0401 Fax: 386-774-5783 | |
David Demetree, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-917-5000 | |
Carolyn Frett, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 258 Treemonte Dr Ste 258, Orange City, FL 32763 Phone: 386-628-3376 Fax: 386-877-0188 | |
Ryan Bryce Adamcik, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1053 Medical Center Dr Ste 101, Orange City, FL 32763 Phone: 386-774-2500 |