Nickoles Long, is a medicare enrolled "Physical Therapist" provider in Grandview Heights, Ohio. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Physical Therapist In Private Practice. His current practice location is
800 Yard St Ste 300, Grandview Heights, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 672-6098.
Nickoles Long is licensed to practice in Ohio (license number PT018726) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1578352571.
Healthcare Provider's Profile
| Full Name | Nickoles Long |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 6 Years |
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| Location | 800 Yard St Ste 300, Grandview Heights, Ohio |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nickoles Long graduated from medical school in 2020
NPI Data:
- NPI Number: 1578352571
- Provider Enumeration Date: 05/05/2025
- Last Update Date: 05/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214435056
- Enrollment ID: I20250811002076
Medical Identifiers
Medical identifiers for Nickoles Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578352571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT018726 (Ohio) | Primary |
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. Nickoles 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 Address | Practice Location Address |
|---|
Nickoles Long,
5057 Drivemere Rd,
Hilliard, OH 43026-1514
Ph: (937) 672-6098 | Nickoles Long,
800 Yard St Ste 300,
Grandview Heights, OH 43212-3882
Ph: (937) 672-6098 |
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