Dr Kelly Ann Long, AUD is a medicare enrolled "Audiologist" provider in Lugoff, South Carolina. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice South Carolina Ent Allergy And Sleep Medicine Pa and her current practice location is
15 Exchange Dr, Lugoff, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 408-3277.
Dr Kelly Ann Long is licensed to practice in South Carolina (license number 2008) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457438905.
Healthcare Provider's Profile
| Full Name | Dr Kelly Ann Long |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 20 Years |
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| Location | 15 Exchange Dr, Lugoff, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kelly Ann Long graduated from medical school in 2004
NPI Data:
- NPI Number: 1457438905
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 05/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 4486716297
- Enrollment ID: I20090102000169
Medical Identifiers
Medical identifiers for Dr Kelly Ann Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457438905 | NPI | - | NPPES |
| SA0255 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 2008 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| South Carolina Ent Allergy And Sleep Medicine Pa | 0840214748 | 23 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kelly Ann Long allows following entities to bill medicare on her behalf.
| Provider Name | South Carolina Ent Allergy & Sleep Medicine Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1134153083
PECOS PAC ID: 0840214748
Enrollment ID: O20060118000755 |
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| Provider Name | 360care Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1417592536
PECOS PAC ID: 2860708666
Enrollment ID: O20200310001966 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly Ann Long is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kelly Ann Long, AUD
15 Exchange Dr,
Lugoff, SC 29078-9198
Ph: (803) 408-3277 | Dr Kelly Ann Long, AUD
15 Exchange Dr,
Lugoff, SC 29078-9198
Ph: (803) 408-3277 |
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