Look up the most recent NPI and PECOS records

Robyn Ashley Long

Family Medicine

Allopathic & Osteopathic Physicians

105 W Stone Dr Ste 1f, Kingsport, TN 37660-3365

(423) 857-2093 (800) 893-9698

PECOS Enrollment

This provider is enrolled in PECOS as ROBYN LONG.

Based on the most recent information from CMS, provider Robyn Ashley Long is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1831622273
Provider Type
Individual
Full Name
Long, Robyn Ashley
Credential
D.O.

Gender
Female
Sole Proprietor
No
Enumeration Date
4/4/2017
Last Updated
3/25/2020

Contact Information

Practice Location

105 W Stone Dr Ste 1f, Kingsport, TN 37660-3365

(423) 857-2093

Unlisted Fax

Mailing Location

200 Corporate Blvd, Lafayette, LA 70508-3870

(800) 893-9698

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 3508 Tennessee
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 3508 Tennessee

Robyn Ashley Long

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Lee, Robert

Vincent, Bruce S

Kahle, Kelly

Kauzlarich, Michael P

Brazee, Louise J

Galletti, Christopher

Kliesch, John F

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Winegar, Bruce C

Brummel, Mark