Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114743002 Individual Practitioner Female Practitioner

Bethany Long

Physician Assistant • Commerce Township, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Bethany Long is a certified Physician Assistant practicing in Commerce Township, MI. With approximately 1 years of clinical experience since completing medical education in 2025, Bethany Long delivers high-quality medical care to the local community at 4123 MARTIN RD STE 102.

Bethany Long is affiliated with Iha Ooma Primary Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4123 Martin Rd Ste 102

Commerce Township, MI 483904151

Telephone 2483663700
Fax 2483661038
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Commerce Township, MI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -6.9 yrs vs City Avg
City Avg: 7.9 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Commerce Township, MI (7057 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Long (1 Years) 1 Yrs
Commerce Township Specialty Average (7.9 Years) 7.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-05-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601013144

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Iha Ooma Primary Llc

1375 S Lapeer Rd, Lake Orion, MI 483601421

Phone: 2486935700

Iha Ooma Primary Llc

4123 Martin Rd, Commerce Township, MI 483904151

Phone: 2483663700

Secondary Practice Locations

259 Mack Ave

Detroit, MI 482012427

Phone: 3135771716

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Vikash Patel , MD

Family Medicine

NPI 1003510272

Doctor of Medicine (M.D.)

NPI 1235833849

Doctor of Medicine (M.D.)

Dr. Adil Arabbo , MD

Family Medicine

NPI 1316936008

Doctor of Medicine (M.D.)

Dr. Basmal Yaldo , MD

Family Medicine

NPI 1346479789

Doctor of Medicine (M.D.)

Dr. Gina Nathwani , MD

Family Medicine

NPI 1588306773

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 28, 2025

Registered at 4123 MARTIN RD STE 102, COMMERCE TOWNSHIP, MI 483904151 (Tel: 2483663700)

📍
Updated Business Mailing Address May 28, 2025

Registered at 24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 481059484 (Tel: 7347476766)

NPI Profile Active November 25, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 25, 2024

Registered at 259 MACK AVE, DETROIT, MI 482012427 (Tel: 3135771716)

📍
Updated Business Mailing Address November 25, 2024

Registered at 259 MACK AVE STE 2590, DETROIT, MI 482012427 (Tel: 3135771716)

👤
Provider Name / Credentials Updated November 25, 2024

Recorded as BETHANY LONG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration November 25, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114743002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 25, 2024
Last Update: May 28, 2025
Sole Proprietor: No

Mailing Address

24 Frank Lloyd Wright Dr Ste J2000

Ann Arbor, MI 481059484

Phone: 7347476766

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.