BETHANY LONG
NPI 1114743002
Physician Assistant in Commerce Township, MI

Q: What is Bethany Long's NPI number?

The NPI number for Bethany Long is 1114743002. It was assigned to this individual provider in the NPPES registry on November 25, 2024.

Q: What is Bethany Long's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Bethany Long was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since November 25, 2024PECOS EnrolledAccepts Medicare Assignment

4123 MARTIN RD STE 102, COMMERCE TOWNSHIP, MI 48390(248) 366-3700(248) 366-1038 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Bethany Long NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY LONG (NPI 1114743002) is an individual physician assistant in Commerce Township, Michigan, licensed in Michigan (5601013144) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1114743002

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameBETHANY LONG

Location Address4123 MARTIN RD STE 102Commerce Township, MI 48390-4151

Mailing Address24 Frank Lloyd Wright Dr Ste J2000Ann Arbor, MI 48105-9484 · (734) 747-6766

Phone(248) 366-3700

Fax(248) 366-1038

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 25, 2024

Last NPPES UpdateMay 28, 2025

NPPES CertifiedMay 28, 2025

✔ NPI 1114743002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601013144

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4123 MARTIN RD STE 102, Commerce Township, MI 48390

Open in Google Maps ↗

Secondary Practice Location 1

Location 1259 Mack AveDetroit, MI 48201-2427 · Phone (313) 577-1716

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bethany Long is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628586583

PECOS Enrollment IDI20250801002403

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230029

Location44405 Woodward AvePontiac, MI 48341 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48390 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VIKASH PATEL MD

Family Medicine