Jessica Renee Long, APRN in Jacksonville, FL - Medicare Nurse Practitioner

Jessica Renee Long, APRN is a medicare enrolled "Nurse Practitioner" in Jacksonville, Florida. Her current practice location is 2122 University Blvd S, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 398-5614.

Jessica Renee Long is licensed to practice in Florida (license number 11008692) 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 1679245914.

Contact Information

	Jessica Renee Long, APRN
	2122 University Blvd S, Jacksonville, FL 32216-8937
	(904) 398-5614
	(904) 398-5617

Map and Direction

Provider's Profile

Full Name	Jessica Renee Long
Gender	Female
Speciality	Nurse Practitioner
Location	2122 University Blvd S, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679245914
Provider Enumeration Date: 10/05/2021
Last Update Date: 10/05/2021

Medicare PECOS Information:

PECOS PAC ID: 6608262076
Enrollment ID: I20220412001165

Medical Identifiers

Medical identifiers for Jessica Renee Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679245914	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11008692 (Florida)	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. Jessica Renee Long allows following entities to bill medicare on her behalf.

Entity Name	First Coast Infectious Disease Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740477843 PECOS PAC ID: 2567551104 Enrollment ID: O20071204000531

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. Jessica Renee 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
Jessica Renee Long, APRN Po Box 55009, Jacksonville, FL 32216-0009 Ph: (904) 398-5614	Jessica Renee Long, APRN 2122 University Blvd S, Jacksonville, FL 32216-8937 Ph: (904) 398-5614

Reviews and Comments

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Jessica Renee Long, APRN - Medicare Nurse Practitioner in Jacksonville, FL