Deborah Longwill, DO PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS0005683 Issued in FL

Practice address

7700 SW 104TH St
Pinecrest, FL 33156-3149

Phone

(305) 279-7546

Fax

(305) 279-4180

NPI assigned

Apr 17, 2006

Last updated

Mar 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deborah Longwill DO PAGroup PAC ID 9234158650, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deborah Longwill DO PA

  • Dermatology Physician
  • Pinecrest, FL
  • NPI 1538111679
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1518921303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 SW 104TH ST",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331563149",
            "telephone_number": "305-279-7546",
            "fax_number": "305-279-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 SW 104TH ST",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331563149",
            "telephone_number": "305-279-7546",
            "fax_number": "305-279-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGWILL",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "DO PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS0005683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Valerie Lopez, DPT
• David Eduardo Lora
• Karina Maria Luaces, PSY.D.

• Dermatology Physician in Pinecrest, FL
• Providers in Pinecrest, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.