Lysa Long, CNM in Charlotte, NC - Medicare Certified Nurse Midwife (cnm)

Lysa Long, CNM is a medicare enrolled "Advanced Practice Midwife" in Charlotte, North Carolina. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Novant Medical Group Inc and her current practice location is 5933 Blakeney Park Dr Ste 100, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 316-2021.

Lysa Long is licensed to practice in North Carolina (license number 185) 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 1619110418.

Contact Information

	Lysa Long, CNM
	5933 Blakeney Park Dr Ste 100, Charlotte, NC 28277-5713
	(704) 316-2021
	(704) 316-2025

Map and Direction

Provider's Profile

Full Name	Lysa Long
Gender	Female
Speciality	Certified Nurse Midwife (cnm)
Experience	27 Years
Location	5933 Blakeney Park Dr Ste 100, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lysa Long graduated from nursing school in 1997

NPI Data:

NPI Number: 1619110418
Provider Enumeration Date: 04/09/2009
Last Update Date: 10/25/2020

Medicare PECOS Information:

PECOS PAC ID: 9335485655
Enrollment ID: I20190108001594

Medical Identifiers

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

Identifier	Type	State	Issuer
1619110418	NPI	-	NPPES
7002154	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	185 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Medical Group Inc	1153234893	2023

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. Lysa Long allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306950282 PECOS PAC ID: 1153234893 Enrollment ID: O20040204001028

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. Lysa 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
Lysa Long, CNM Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 316-2025	Lysa Long, CNM 5933 Blakeney Park Dr Ste 100, Charlotte, NC 28277-5713 Ph: (704) 316-2021

Reviews and Comments

Advanced Practice Midwife Nurses in Charlotte, NC

Norma Ramirez, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 251 Eastway Dr, Charlotte, NC 28213 Phone: 704-446-9991
Stacey Haynes Archer, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1544
Barbara Jean Shaffer, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 8800 N Tryon St, Charlotte, NC 28262 Phone: 704-863-6000
Kathy Sharon Shields, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Ste 400, Charlotte, NC 28204 Phone: 704-446-1700
Jasmine Bates-marshall, CNM, RN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273 Phone: 980-272-7126
Tianna Kathryn Powell Greene, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 10628 Park Rd, Charlotte, NC 28210 Phone: 704-667-1000
Lori Rebecca Williamson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 13640 Steelecroft Pkwy, Ste 240, Charlotte, NC 28278 Phone: 704-512-3860

Lysa Long, CNM - Medicare Certified Nurse Midwife (cnm) in Charlotte, NC