Mrs Aurelia G Mendiola Long, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Women's Health" in Tinian, Northern Mariana Islands. Her current practice location is
5 Canal Street, San Jose, Tinian, Northern Mariana Islands. You can reach out to her office (for appointments etc.) via phone at
(670) 433-4750.
Mrs Aurelia G Mendiola Long is licensed to practice in Northern Mariana Islands (license number NP08005) 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 1619182565.
Provider's Profile
| Full Name | Mrs Aurelia G Mendiola Long |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Women's Health |
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| Location | 5 Canal Street, San Jose, Tinian, Northern Mariana Islands |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619182565
- Provider Enumeration Date: 05/14/2007
- Last Update Date: 03/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214479807
- Enrollment ID: I20240611002234
Medical Identifiers
Medical identifiers for Mrs Aurelia G Mendiola Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619182565 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LW0102X | Nurse Practitioner - Women's Health | 0046 (Northern Mariana Islands) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | NP08005 (Northern Mariana Islands) | 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 Aurelia G Mendiola Long allows following entities to bill medicare on her behalf.
| Entity Name | Kagman Community Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770002446
PECOS PAC ID: 6002171659
Enrollment ID: O20210916000735 |
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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 Aurelia G Mendiola 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 Aurelia G Mendiola Long, NURSE PRACTITIONER
P.o. Box 5723 Chrb,
Saipan, MP 96950
Ph: (670) 783-2468 | Mrs Aurelia G Mendiola Long, NURSE PRACTITIONER
5 Canal Street, San Jose,
Tinian, MP 96952
Ph: (670) 433-4750 |
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