Miss Kathy Amanda Long, ARNP-BC in Marion, IL

Miss Kathy Amanda Long, ARNP-BC is a medicare enrolled "Nurse Practitioner" in Marion, Illinois. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pain Management Centers Of America Psc and her current practice location is 108 Airway Dr, Marion, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 997-7820.

Miss Kathy Amanda Long is licensed to practice in Kentucky (license number 3092927) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1407929870.

Contact Information

	Miss Kathy Amanda Long, ARNP-BC
	108 Airway Dr, Marion, IL 62959-5841
	(618) 997-7820
	(618) 997-6721

Map and Direction

Provider's Profile

Full Name	Miss Kathy Amanda Long
Gender	Female
Speciality	Nurse Practitioner
Experience	20 Years
Location	108 Airway Dr, Marion, Illinois
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Kathy Amanda Long graduated from nursing school in 2004

NPI Data:

NPI Number: 1407929870
Provider Enumeration Date: 11/15/2006
Last Update Date: 02/19/2020

Medicare PECOS Information:

PECOS PAC ID: 0840244414
Enrollment ID: I20050307000341

Medical Identifiers

Medical identifiers for Miss Kathy Amanda Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407929870	NPI	-	NPPES
78905296	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	3092927 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jennie Stuart Medical Center	Hopkinsville, KY	Hospital
Massac Memorial Hospital	Metropolis, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pain Management Centers Of America Psc	2769727114	28

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. Miss Kathy Amanda Long allows following entities to bill medicare on her behalf.

Entity Name	Pmcp, Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518016823 PECOS PAC ID: 7719976166 Enrollment ID: O20040510001598

Entity Name	Pain Management Centers Of America Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992271811 PECOS PAC ID: 2769727114 Enrollment ID: O20190205002506

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. Miss Kathy Amanda 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
Miss Kathy Amanda Long, ARNP-BC 2831 Lone Oak Rd, Paducah, KY 42003-8041 Ph: (270) 554-8373	Miss Kathy Amanda Long, ARNP-BC 108 Airway Dr, Marion, IL 62959-5841 Ph: (618) 997-7820

Reviews and Comments

Nurse Practitioner Nurses in Marion, IL

Era Louise Mattingly, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11522 White Pine Ave, Marion, IL 62959 Phone: 618-889-4834
Jessie Nicole Fox, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2808 Outer Dr, Marion, IL 62959 Phone: 618-993-3817
Ms. Peggy Boyd, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3106 Outer Dr, Marion, IL 62959 Phone: 618-997-4332 Fax: 618-997-6205
Donna R Walters, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3408 Office Park Dr, Marion, IL 62959 Phone: 618-997-5266 Fax: 618-997-5285
Mrs. Holly Ann Gates, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Williamson County Pkwy, Marion, IL 62959 Phone: 618-519-9200 Fax: 618-985-9155
Rhonda Raye Heatherly, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 S Vicksburg St, Marion, IL 62959 Phone: 618-998-1900
Michelle Wharton, APN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3412 Office Park Dr, Marion, IL 62959 Phone: 618-993-0404

Miss Kathy Amanda Long, ARNP-BC - Medicare Nurse Practitioner in Marion, IL