Emmie Norrell Longshore, is a medicare enrolled "Nurse Practitioner - Family" in Ranburne, Alabama. Her current practice location is
21178 Main Street, Ranburne, Alabama. You can reach out to her office (for appointments etc.) via phone at
(938) 526-0010.
Emmie Norrell Longshore is licensed to practice in Georgia (license number RN233967) 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 1184171886.
Provider's Profile
Full Name | Emmie Norrell Longshore |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 21178 Main Street, Ranburne, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184171886
- Provider Enumeration Date: 09/10/2016
- Last Update Date: 12/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658650924
- Enrollment ID: I20161110000235
Medical Identifiers
Medical identifiers for Emmie Norrell Longshore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184171886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | RN233967 (Georgia) | 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. Emmie Norrell Longshore allows following entities to bill medicare on her behalf.
Entity Name | 316 Family Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861915647 PECOS PAC ID: 6709159437 Enrollment ID: O20170831002113 |
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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. Emmie Norrell Longshore 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 |
Emmie Norrell Longshore, 222 Gordon St, Bremen, GA 30110-1519 Ph: (770) 537-1234 | Emmie Norrell Longshore, 21178 Main Street, Ranburne, AL 36273 Ph: (938) 526-0010 |
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