Long Thanh Nguyen, PA
NPI 1417682642ActiveIndividual· Physician Assistant· Bartlett, TN
Physician Assistant (PA) in Bartlett, Tennessee, with an NPI issued in July 2022. Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant. Penumbra, Inc. reported $123.22 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1417682642 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jul 21, 2022 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AR); Practitioner - Physician Assistant (TN) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
Industry payments (Open Payments)
- 2025$123.22 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Penumbra, Inc. | $123.22 | 1 |
What the 2025 payments were for
- Food and Beverage$123.22 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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