Lisa Lavonn Long, RN CNS - Medicare Clinical Nurse Specialist in Plymouth, MN

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Lisa Lavonn Long, RN CNS is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Plymouth, Minnesota. Her current practice location is 2800 Campus Dr, Suite 30, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 398-2203.

Lisa Lavonn Long is licensed to practice in Minnesota (license number R1414190) 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 1801072020.

Contact Information

Lisa Lavonn Long, RN CNS
2800 Campus Dr, Suite 30,
Plymouth, MN 55441-2645
(763) 398-2203
(763) 398-2233

Map and Direction




Provider's Profile

Full NameLisa Lavonn Long
GenderFemale
SpecialityClinical Nurse Specialist - Adult Health
Location2800 Campus Dr, Plymouth, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801072020
  • Provider Enumeration Date: 01/17/2008
  • Last Update Date: 06/27/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1254416845
  • Enrollment ID: I20080306000355

Medical Identifiers

Medical identifiers for Lisa Lavonn Long such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801072020NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SA2200XClinical Nurse Specialist - Adult Health R1414190 (Minnesota)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. Lisa Lavonn Long allows following entities to bill medicare on her behalf.
Entity NameWest Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053311399
PECOS PAC ID: 7315833720
Enrollment ID: O20040429001479
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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. Lisa Lavonn 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 AddressPractice Location Address
Lisa Lavonn Long, RN CNS
Division Of Vascular Surgery, Mmc 195, 420 Delaware Street Se Mmc 195,
Minneapolis, MN 55455

Ph: (612) 626-4893		Lisa Lavonn Long, RN CNS
2800 Campus Dr, Suite 30,
Plymouth, MN 55441-2645

Ph: (763) 398-2203

Reviews and Comments


Clinical Nurse Specialist Nurses in Plymouth, MN

Andrea Winick, RN, CNP
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 12755 Highway 55, Mn009-s130, Plymouth, MN 55441
Phone: 800-896-8936    Fax: 888-866-3209

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.