Tyler Jon Long, - Medicare Student in an Organized Health Care Education/Training Program in Blacksburg, VA

Tyler Jon Long, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Blacksburg, Virginia. His current practice location is 3700 S Main St, Blacksburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 953-5445.

Tyler Jon Long is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851954242.

Contact Information

Tyler Jon Long,
3700 S Main St,
Blacksburg, VA 24060-7017
(540) 953-5445
Not Available



Physician's Profile

Full NameTyler Jon Long
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location3700 S Main St, Blacksburg, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851954242
  • Provider Enumeration Date: 04/21/2019
  • Last Update Date: 02/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2961826474
  • Enrollment ID: I20230721000655

Medical Identifiers

Medical identifiers for Tyler Jon Long such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851954242NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 0116034370 (Virginia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

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. Tyler Jon Long allows following entities to bill medicare on his behalf.
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210226002383

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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. Tyler Jon 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 AddressPractice Location Address
Tyler Jon Long,
3700 S Main St,
Blacksburg, VA 24060-7017

Ph: () -
Tyler Jon Long,
3700 S Main St,
Blacksburg, VA 24060-7017

Ph: (540) 953-5445

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Annie Henderson, 69, suffers from multiple chronic ailments, including kidney failure and mitral valve insufficiency. The later turned her life into a battle for breath, eliminating almost all activities and even making sleep a struggle. She couldn't sleep for more than 20-minutes at a time without waking in a fit of coughing. Thanks to a leading-edge procedure performed at UT Southwestern Medical Center, Mrs. Henderson is now breathing - and sleeping - easy.

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