Dawn Longbrake, PMHNP-BC is a
Nurse Practitioner - Psychiatric/mental Health based in Russia, Ohio. Dawn Longbrake is licensed to practice in Ohio (license number APRN.CNP.0038049) and her current practice location is
Po Box 441, Russia, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 407-1341.
NPI number for Dawn Longbrake is 1720804230 and her current mailing address is 8850 Cottonwood Trl, Anna, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720804230.
Provider's Profile
Full Name | Dawn Longbrake |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | Po Box 441, Russia, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720804230
- Provider Enumeration Date: 11/29/2024
- Last Update Date: 11/29/2024
Medical Identifiers
Medical identifiers for Dawn Longbrake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720804230 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0038049 (Ohio) | Primary |
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. Dawn Longbrake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dawn Longbrake, PMHNP-BC 8850 Cottonwood Trl, Anna, OH 45302-2517 Ph: () - | Dawn Longbrake, PMHNP-BC Po Box 441, Russia, OH 45363-0441 Ph: (937) 407-1341 |
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