Ms Kimberley L Long, CNM in Marietta, GA - Medicare Advanced Practice Midwife

Ms Kimberley L Long, CNM is a medicare enrolled "Advanced Practice Midwife" in Marietta, Georgia. Her current practice location is 699 Church St Ne, Suite 500, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 793-9750.

Ms Kimberley L Long is licensed to practice in Georgia (license number RN114961) 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 1073503132.

Contact Information

	Ms Kimberley L Long, CNM
	699 Church St Ne, Suite 500, Marietta, GA 30060-1110
	(770) 793-9750
	(770) 919-0581

Map and Direction

Provider's Profile

Full Name	Ms Kimberley L Long
Gender	Female
Speciality	Advanced Practice Midwife
Location	699 Church St Ne, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073503132
Provider Enumeration Date: 10/28/2005
Last Update Date: 03/21/2016

Medicare PECOS Information:

PECOS PAC ID: 6608954953
Enrollment ID: I20080428000117

Medical Identifiers

Medical identifiers for Ms Kimberley L Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073503132	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	RN114961 (Georgia)	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. Ms Kimberley L Long allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Ms Kimberley L 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
Ms Kimberley L Long, CNM 699 Church St Ne, Suite 500, Marietta, GA 30060-1110 Ph: (770) 793-9750	Ms Kimberley L Long, CNM 699 Church St Ne, Suite 500, Marietta, GA 30060-1110 Ph: (770) 793-9750

Reviews and Comments

Advanced Practice Midwife Nurses in Marietta, GA

Christie Marie Tucker, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 699 Church St Ne Ste 300, Marietta, GA 30060 Phone: 770-422-8700 Fax: 770-425-7601
Ms. Lana M Wertz, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 833 Campbell Hill St Nw Ste 400, Marietta, GA 30060 Phone: 770-528-0260 Fax: 770-528-0269
Ms. Leslie A Haizlip, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 833 Campbell Hill St Nw Ste 400, Marietta, GA 30060 Phone: 770-528-0260 Fax: 770-528-0269
Maryrose Palermo, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 5481 Willow Point Pkwy, Marietta, GA 30068 Phone: 678-517-1594
Michelle L Dromey, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 72 Plaza Way Nw, Marietta, GA 30060 Phone: 770-422-8700 Fax: 770-425-7601
Ms. Debbie S Levy, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 787 Campbell Hill St Nw, Marietta, GA 30060 Phone: 770-528-0260 Fax: 770-528-0269

Ms Kimberley L Long, CNM - Medicare Advanced Practice Midwife in Marietta, GA