Johnna Nicco Long, FNP is a medicare enrolled "Nurse Practitioner - Family" in Eagle, Colorado. Her current practice location is
101 Greenhorn Ave, Eagle, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 389-7353.
Johnna Nicco Long is licensed to practice in Colorado (license number APN.0997169-NP) 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 1447918800.
Provider's Profile
Full Name | Johnna Nicco Long |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 101 Greenhorn Ave, Eagle, Colorado |
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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: 1447918800
- Provider Enumeration Date: 12/02/2021
- Last Update Date: 12/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 2163807116
- Enrollment ID: I20220913000151
Medical Identifiers
Medical identifiers for Johnna Nicco Long such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447918800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APN.0997169-NP (Colorado) | 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. Johnna Nicco Long allows following entities to bill medicare on her behalf.
Entity Name | Valley View Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730897109 PECOS PAC ID: 1850294778 Enrollment ID: O20040129000027 |
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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. Johnna Nicco 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 |
Johnna Nicco Long, FNP Po Box 181, Eagle, CO 81631-0181 Ph: (970) 389-7353 | Johnna Nicco Long, FNP 101 Greenhorn Ave, Eagle, CO 81631-6040 Ph: (970) 389-7353 |
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