Ms Krystel Leann Long, PMHNP is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Desoto, Texas. Her current practice location is
1301 E Parkerville Rd Ste A8-1073, Desoto, Texas. You can reach out to her office (for appointments etc.) via phone at
(469) 222-9721.
Ms Krystel Leann Long is licensed to practice in Texas (license number 834615) 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 1235895491.
Provider's Profile
Full Name | Ms Krystel Leann Long |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
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Location | 1301 E Parkerville Rd Ste A8-1073, Desoto, Texas |
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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: 1235895491
- Provider Enumeration Date: 11/11/2021
- Last Update Date: 07/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214328038
- Enrollment ID: I20220104002984
Medical Identifiers
Medical identifiers for Ms Krystel Leann Long such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235895491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 834615 (Texas) | 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 Krystel Leann Long allows following entities to bill medicare on her behalf.
Entity Name | Cedar Crest Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710936380 PECOS PAC ID: 9537063409 Enrollment ID: O20031121000632 |
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Entity Name | Ziks Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427521426 PECOS PAC ID: 4981033289 Enrollment ID: O20200408001955 |
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Entity Name | Royalty Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477283562 PECOS PAC ID: 0244612521 Enrollment ID: O20220803000984 |
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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. Ms Krystel Leann 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 Krystel Leann Long, PMHNP 2151 Candace Dr, Lancaster, TX 75146-4946 Ph: (121) 488-1898 | Ms Krystel Leann Long, PMHNP 1301 E Parkerville Rd Ste A8-1073, Desoto, TX 75115-6420 Ph: (469) 222-9721 |
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