Mary Ann Longalong Villalon, PMHNP-BC - Medicare Registered Nurse in Chicago, IL

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Mary Ann Longalong Villalon, PMHNP-BC is a medicare enrolled "Registered Nurse - Psychiatric/mental Health, Adult" in Chicago, Illinois. Her current practice location is 1203 W Augusta Blvd Ste 1, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 248-2255.

Mary Ann Longalong Villalon is licensed to practice in Illinois (license number 041483639) 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 1447936984.

Contact Information

Mary Ann Longalong Villalon, PMHNP-BC
1203 W Augusta Blvd Ste 1,
Chicago, IL 60642-4327
(773) 248-2255
Not Available

Map and Direction




Provider's Profile

Full NameMary Ann Longalong Villalon
GenderFemale
SpecialityRegistered Nurse - Psychiatric/mental Health, Adult
Location1203 W Augusta Blvd Ste 1, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447936984
  • Provider Enumeration Date: 06/27/2023
  • Last Update Date: 08/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850748211
  • Enrollment ID: I20231107003731

Medical Identifiers

Medical identifiers for Mary Ann Longalong Villalon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447936984NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209028066 (Illinois)Secondary
163WP0809XRegistered Nurse - Psychiatric/mental Health, Adult 041483639 (Illinois)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. Mary Ann Longalong Villalon allows following entities to bill medicare on her behalf.
Entity NameBespoke Psychiatry
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952937104
PECOS PAC ID: 3274951744
Enrollment ID: O20200915002352

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. Mary Ann Longalong Villalon 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
Mary Ann Longalong Villalon, PMHNP-BC
8650 W Davis St,
Des Plaines, IL 60016-5167

Ph: (224) 766-9182		Mary Ann Longalong Villalon, PMHNP-BC
1203 W Augusta Blvd Ste 1,
Chicago, IL 60642-4327

Ph: (773) 248-2255

Reviews and Comments


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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).

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