Mrs Katherine Kay Long, APRN in West Lafayette, IN

Mrs Katherine Kay Long, APRN is a medicare enrolled "Family Medicine" physician in West Lafayette, Indiana. Her current practice location is 124 Sagamore Pkwy West, West Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 463-6722.

Mrs Katherine Kay Long is licensed to practice in Indiana (license number 71011703A) 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 1710640008.

Contact Information

	Mrs Katherine Kay Long, APRN
	124 Sagamore Pkwy West, West Lafayette, IN 47906
	(765) 463-6722
	(765) 463-0905

Map and Direction

Physician's Profile

Full Name	Mrs Katherine Kay Long
Gender	Female
Speciality	Family Medicine
Location	124 Sagamore Pkwy West, West Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710640008
Provider Enumeration Date: 10/14/2021
Last Update Date: 10/08/2024

Medicare PECOS Information:

PECOS PAC ID: 7911396791
Enrollment ID: I20221214001513

Medical Identifiers

Medical identifiers for Mrs Katherine Kay Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710640008	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	71011703A (Indiana)	Primary

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. Mrs Katherine Kay Long allows following entities to bill medicare on her behalf.

Entity Name	Randall Dermatology, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245340488 PECOS PAC ID: 3678675329 Enrollment ID: O20070227000078

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. Mrs Katherine Kay 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
Mrs Katherine Kay Long, APRN 124 Sagamore Pkwy West, West Lafayette, IN 47906 Ph: (765) 463-6722	Mrs Katherine Kay Long, APRN 124 Sagamore Pkwy West, West Lafayette, IN 47906 Ph: (765) 463-6722

Reviews and Comments

Family Medicine Doctors in West Lafayette, IN

Gerald N Maesaka, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 Fax: 765-496-1227
Andrew Keith Edwards, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-446-7023
Dr. Timothy B O'donnell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 156 Sagamore Pkwy W Ste A, West Lafayette, IN 47906 Phone: 765-204-1122 Fax: 765-205-8322
Scott Carrington, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-2424 Fax: 765-463-2249
Leonia Scott, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 N Grant St, West Lafayette, IN 47906 Phone: 317-201-4566
Jerrod Edward Day, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 909 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-6262 Fax: 765-463-9122
Kishan B Patel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-446-7023

Mrs Katherine Kay Long, APRN - Medicare Family Medicine in West Lafayette, IN