MACK C LONG III
NPI 1073483947
Counselor - Professional in Mineola, TX
About Mack C Long Iii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACK C LONG III (NPI 1073483947) is an individual professional provider in Mineola, Texas, licensed in Texas (91528) and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mack C Long Iii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mack Long reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tyler, TX 75702
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Andrews Center
- 71 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINEOLA, TX 75773
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mack Long's NPI number?
The NPI number for Mack Long is 1073483947. It was assigned to this individual provider in the NPPES registry on November 6, 2025.
Where is Mack Long located?
Mack Long practices at 703 W Patten St, Mineola, TX 75773. The listed phone number is (903) 535-7344.
What is Mack Long's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mack Long enrolled in Medicare?
Yes. Mack Long is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mack Long's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mack Long reassigns Medicare benefits to Andrew Center -Adt Mh (Tyler, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mack Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mack Long accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Mack Long as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mack Long was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mack C Long III · NPI 1073483947
Professional provider in Mineola, Texas. Individual provider, active in the CMS NPPES registry since November 6, 2025.
## Identity
- **NPI:** 1073483947 (Entity type: Individual)
- **Enumerated:** November 6, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 91528 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 703 W PATTEN ST, Mineola, TX 75773-1541
- **Phone:** (903) 535-7344
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Andrew Center -Adt Mh (NPI 1891162871, Tyler, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** November 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073483947) · Data from the CMS NPPES public registry.