Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Douglas W. Long, PA-C

Individual provider Physician Assistant · NPI 1023079837

Mr. Douglas W. Long, PA-C is a Physician Assistant in Wilkes Barre, Pennsylvania. Qualified in 2000, 26 years ago. Practices with Geisinger Clinic, a 3,413-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
26
Licensed in
PA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone: (570) 820-6020
Fax: (570) 821-2306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MD050739 (PA)

Record details

NPI number1023079837
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 31, 2006
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Wilkes Barre