Joann Long, APNP is a medicare enrolled "Nurse Practitioner" in Cottage Grove, Wisconsin. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Agrace Palliative Care Llc and her current practice location is
4364 Secretariat Ct, Cottage Grove, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(614) 623-2627.
Joann Long is licensed to practice in Wisconsin (license number 11596) 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 1174281158.
Provider's Profile
| Full Name | Joann Long |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 4364 Secretariat Ct, Cottage Grove, Wisconsin |
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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:
- Joann Long graduated from nursing school in 2021
NPI Data:
- NPI Number: 1174281158
- Provider Enumeration Date: 12/07/2021
- Last Update Date: 10/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 3678966363
- Enrollment ID: I20220201001489
Medical Identifiers
Medical identifiers for Joann Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174281158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 11596 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Agrace Palliative Care Llc | 4385882729 | 10 |
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. Joann Long allows following entities to bill medicare on her behalf.
| Entity Name | Agrace Palliative Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326386129
PECOS PAC ID: 4385882729
Enrollment ID: O20130524000443 |
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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. Joann 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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Joann Long, APNP
4364 Secretariat Ct,
Cottage Grove, WI 53527
Ph: () - | Joann Long, APNP
4364 Secretariat Ct,
Cottage Grove, WI 53527
Ph: (614) 623-2627 |
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