Mrs Stacey Michelle Long, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Reedsville, Ohio. Her current practice location is
52050 State Route 681, Reedsville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 818-6560.
Mrs Stacey Michelle Long is licensed to practice in Ohio (license number 0036164) 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 1891548012.
Provider's Profile
Full Name | Mrs Stacey Michelle Long |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 52050 State Route 681, Reedsville, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891548012
- Provider Enumeration Date: 04/08/2024
- Last Update Date: 04/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810437266
- Enrollment ID: I20240911004076
Medical Identifiers
Medical identifiers for Mrs Stacey Michelle Long such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891548012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 0036164 (Ohio) | 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. Mrs Stacey Michelle Long allows following entities to bill medicare on her behalf.
Entity Name | West Virginia University Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
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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. Mrs Stacey Michelle 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 |
Mrs Stacey Michelle Long, APRN-CNP 52050 State Route 681, Reedsville, OH 45772-9751 Ph: (740) 818-6560 | Mrs Stacey Michelle Long, APRN-CNP 52050 State Route 681, Reedsville, OH 45772-9751 Ph: (740) 818-6560 |
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