Linda Marie Long, FNP-BC - Medicare Nurse Practitioner in San Clemente, CA

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Linda Marie Long, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in San Clemente, California. Her current practice location is 187 Avenida La Pata, San Clemente, California. You can reach out to her office (for appointments etc.) via phone at (949) 528-4758.

Linda Marie Long is licensed to practice in California (license number 95000750) 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 1104094937.

Contact Information

Linda Marie Long, FNP-BC
187 Avenida La Pata,
San Clemente, CA 92673-6307
(949) 528-4758
(949) 288-0432

Map and Direction




Provider's Profile

Full NameLinda Marie Long
GenderFemale
SpecialityNurse Practitioner - Family
Location187 Avenida La Pata, San Clemente, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104094937
  • Provider Enumeration Date: 02/14/2008
  • Last Update Date: 02/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4486708252
  • Enrollment ID: I20141016002010

Medical Identifiers

Medical identifiers for Linda Marie Long such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104094937NPI-NPPES
CA131622OtherCAMEDICARE IDENTIFICATION NUMBER (PTAN)

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95000750 (California)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. Linda Marie Long allows following entities to bill medicare on her behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameJason Kellogg Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235391624
PECOS PAC ID: 9032266127
Enrollment ID: O20090407000131
Entity NameDirect Medical Ventures Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831700046
PECOS PAC ID: 9638597354
Enrollment ID: O20200913000010
Entity NameAlign Health Nursing Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740042670
PECOS PAC ID: 4789023318
Enrollment ID: O20240416001970

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. Linda Marie 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
Linda Marie Long, FNP-BC
Po Box 73236,
San Clemente, CA 92673-0107

Ph: (949) 528-4758		Linda Marie Long, FNP-BC
187 Avenida La Pata,
San Clemente, CA 92673-6307

Ph: (949) 528-4758

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).

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.