Jenna Marie Long, is a medicare enrolled "Nurse Practitioner - Family" in Lamoure, North Dakota. She went to Sanford School Of Medicine Of University Of South Dakota and graduated in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sanford Medical Center Fargo and her current practice location is
100 1st Ave Sw, Lamoure, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 883-5048.
Jenna Marie Long is licensed to practice in North Dakota (license number R39489) 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 1225504731.
Provider's Profile
| Full Name | Jenna Marie Long |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 100 1st Ave Sw, Lamoure, North Dakota |
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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:
- Jenna Marie Long attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 2018
NPI Data:
- NPI Number: 1225504731
- Provider Enumeration Date: 10/23/2018
- Last Update Date: 07/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678819109
- Enrollment ID: I20190104000163
Medical Identifiers
Medical identifiers for Jenna Marie Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225504731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | R39489 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sanford Medical Center Fargo | 8426967803 | 1085 |
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. Jenna Marie Long allows following entities to bill medicare on her behalf.
| Entity Name | Sanford Clinic North |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942241351
PECOS PAC ID: 4284546151
Enrollment ID: O20031112000221 |
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| Entity Name | Sanford Medical Center Fargo |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110331000495 |
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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. Jenna Marie 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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Jenna Marie Long,
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: (605) 328-9419 | Jenna Marie Long,
100 1st Ave Sw,
Lamoure, ND 58458
Ph: (701) 883-5048 |
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