Jan P Long, MSN ANP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Logan Township, New Jersey. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ennoble Hc Nj Pc and her current practice location is
545 Beckett Rd, Suite 106, Logan Township, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 467-2556.
Jan P Long is licensed to practice in New Jersey (license number 26NN10757100) 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 1174696462.
Provider's Profile
| Full Name | Jan P Long |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 23 Years |
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| Location | 545 Beckett Rd, Logan Township, New Jersey |
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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:
- Jan P Long graduated from nursing school in 2001
NPI Data:
- NPI Number: 1174696462
- Provider Enumeration Date: 11/16/2006
- Last Update Date: 07/29/2009
Medicare PECOS Information:
- PECOS PAC ID: 0446356554
- Enrollment ID: I20070507000548
Medical Identifiers
Medical identifiers for Jan P Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174696462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP2300X | Nurse Practitioner - Primary Care | 26NN10757100 (New Jersey) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 26NN10757100 (New Jersey) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ennoble Hc Nj Pc | 0345638185 | 31 |
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. Jan P Long allows following entities to bill medicare on her behalf.
| Entity Name | Salem Internal Medicine P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437219730
PECOS PAC ID: 6406803584
Enrollment ID: O20050331000775 |
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| Entity Name | Phoenix Housecall Associates Of South Jersey |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417393943
PECOS PAC ID: 3971741133
Enrollment ID: O20130529000525 |
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| Entity Name | Ennoble Hc Nj Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306500764
PECOS PAC ID: 0345638185
Enrollment ID: O20211028000825 |
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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. Jan P 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 |
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Jan P Long, MSN ANP-C
545 Beckett Rd, Suite 106,
Logan Township, NJ 08085-1547
Ph: (856) 467-2556 | Jan P Long, MSN ANP-C
545 Beckett Rd, Suite 106,
Logan Township, NJ 08085-1547
Ph: (856) 467-2556 |
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