Alica Long, MACCC-A
Alica Long, MACCC-A is a Qualified Audiologist in Gillette, Wyoming. Qualified in 1998, 28 years ago. Accepts Medicare assignment. Licensed in Wyoming.
- Years since qualifying
- 28
- Licensed in
- WY
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
202 Ross AveGillette, WY 82716-3724
Phone: (307) 689-3611
Fax: (307) 670-8032
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Audiologist (primary) | Taxonomy 231H00000X · Licence A-973 (WY) |
|---|---|
| Audiologist-Hearing Aid Fitter | Taxonomy 237600000X · Licence A-973 (WY) |
Record details
| NPI number | 1659385813 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MACCC-A |
| Sole proprietor | No |
| NPI enumerated | July 27, 2006 |
| Last updated in NPPES | November 19, 2025 |
| Certification date | November 19, 2025 |
Medicare enrollment
| Medicare specialty | QUALIFIED AUDIOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 1998 (28 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Medicare patients and services, 2024
| Medicare patients | 175 |
|---|---|
| Services billed | 267 |
| Average patient age | 75 |