Kimm Christine Long, ACCNS-AG is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Moberly, Missouri. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Hannibal Regional Healthcare System Inc and her current practice location is
1600 N Morley St Ste A120, Moberly, Missouri. You can reach out to her office (for appointments etc.) via phone at
(660) 372-9595.
Kimm Christine Long is licensed to practice in Missouri (license number 2016022480) 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 1790137651.
Provider's Profile
| Full Name | Kimm Christine Long |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 9 Years |
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| Location | 1600 N Morley St Ste A120, Moberly, Missouri |
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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:
- Kimm Christine Long graduated from nursing school in 2015
NPI Data:
- NPI Number: 1790137651
- Provider Enumeration Date: 07/04/2016
- Last Update Date: 10/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 1951672666
- Enrollment ID: I20170728002720
Medical Identifiers
Medical identifiers for Kimm Christine Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790137651 | NPI | - | NPPES |
| 1790137651 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WC0200X | Registered Nurse - Critical Care Medicine | 153901 (Missouri) | Secondary |
| 364SA2100X | Clinical Nurse Specialist - Acute Care | 2016022480 (Missouri) | Secondary |
| 364SG0600X | Clinical Nurse Specialist - Gerontology | 2016022480 (Missouri) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 2016022480 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hannibal Regional Healthcare System Inc | 1254236300 | 205 |
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. Kimm Christine Long allows following entities to bill medicare on her behalf.
| Entity Name | Hannibal Regional Healthcare System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134311392
PECOS PAC ID: 1254236300
Enrollment ID: O20071004000422 |
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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. Kimm Christine 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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Kimm Christine Long, ACCNS-AG
1600 N Morley St,
Moberly, MO 65270-3666
Ph: (660) 372-9595 | Kimm Christine Long, ACCNS-AG
1600 N Morley St Ste A120,
Moberly, MO 65270-3685
Ph: (660) 372-9595 |
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