| 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 |
| 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 | 2171 |
| Entity Name | Halifax Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
| Entity Name | University of Florida Jacksonville Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Entity Name | Florida Health Care Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558302042 PECOS PAC ID: 9436201233 Enrollment ID: O20090708000537 |
| 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 |
Nousheen Rafiq Veerani, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 963 Town Center Dr Ste 100, Orange City, FL 32763 Phone: 407-774-9880 Fax: 386-774-2898 |
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 |