Emily Long, in Sidney, OH - Medicare Social Worker Provider

Emily Long, is a medicare enrolled "Social Worker - Clinical" provider in Sidney, Ohio. Her current practice location is 322 2nd Ave, Sidney, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 710-4616.

Emily Long is licensed to practice in Ohio (license number 1.2103237) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114403896.

Contact Information

	Emily Long,
	322 2nd Ave, Sidney, OH 45365-1263
	(937) 710-4616
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Emily Long
Gender	Female
Speciality	Social Worker - Clinical
Location	322 2nd Ave, Sidney, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114403896
Provider Enumeration Date: 07/16/2018
Last Update Date: 12/08/2021

Medicare PECOS Information:

PECOS PAC ID: 6901280841
Enrollment ID: I20220826001319

Medical Identifiers

Medical identifiers for Emily Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114403896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1.2103237 (Ohio)	Primary
104100000X	Social Worker	S.1801903 (Ohio)	Secondary

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. Emily Long allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509

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. Emily 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
Emily Long, 551 Stonecastle Ct, Sidney, OH 45365-3610 Ph: (614) 530-3396	Emily Long, 322 2nd Ave, Sidney, OH 45365-1263 Ph: (937) 710-4616

Reviews and Comments

Social Worker in Sidney, OH

Ms. Kelly Davis, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 N Main Ave, Sidney, OH 45365 Phone: 937-497-7239 Fax: 937-497-7238
Kari Lyn Purtee, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2338 Aldrin Dr, Sidney, OH 45365 Phone: 973-902-2183
Mary Jean Carpenter, LISW, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2338 Aldrin Dr, Sidney, OH 45365 Phone: 937-902-2183 Fax: 937-498-1052
Tammie Prenger, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1101 N Vandemark Rd, Sidney, OH 45365 Phone: 937-710-4616
Tasha Carpenter, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 128 N Main Ave, Sidney, OH 45365 Phone: 937-710-4616 Fax: 937-710-4732
Tammy Lynn Rench, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 113 N Ohio Ave, Suite 200, Sidney, OH 45365 Phone: 937-492-4920 Fax: 937-492-4945

Emily Long, - Medicare Clinical Social Worker in Sidney, OH