Nicole Marie Long, APRN, PMHNP-BC in Keene, NH

Nicole Marie Long, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Keene, New Hampshire. Her current practice location is 40 Avon St, Keene, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 357-4400.

Nicole Marie Long is licensed to practice in New Hampshire (license number 085982-23) 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 1184100067.

Contact Information

	Nicole Marie Long, APRN, PMHNP-BC
	40 Avon St, Keene, NH 03431-3516
	(603) 357-4400
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Marie Long
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	40 Avon St, Keene, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184100067
Provider Enumeration Date: 07/13/2018
Last Update Date: 12/10/2024

Medicare PECOS Information:

PECOS PAC ID: 6406194505
Enrollment ID: I20230112000375

Medical Identifiers

Medical identifiers for Nicole Marie Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184100067	NPI	-	NPPES
3137907	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	085982-23 (New Hampshire)	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. Nicole Marie Long allows following entities to bill medicare on her behalf.

Entity Name	Weeks Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508819566 PECOS PAC ID: 2769461284 Enrollment ID: O20040719000284

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. Nicole 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 Address	Practice Location Address
Nicole Marie Long, APRN, PMHNP-BC 64 Main St Fl 2, Keene, NH 03431-3701 Ph: (603) 283-1570	Nicole Marie Long, APRN, PMHNP-BC 40 Avon St, Keene, NH 03431-3516 Ph: (603) 357-4400

Reviews and Comments

Nurse Practitioner Nurses in Keene, NH

Katrina M Masure, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 580 Court St, Keene, NH 03431 Phone: 603-354-5400
Linda M Rice, APRN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 580 Court Street The Cheshire Medical Center, Emergency Medicine Department, Keene, NH 03431 Phone: 603-354-6600
Mrs. Corinne Marie-madeleine Del Perugia-stoddart, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 590 Court Street, Family Medicine, Keene, NH 03431 Phone: 603-354-5400
Rachel Marie Hough, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 677 Court St, Keene, NH 03431 Phone: 603-400-0619
Ms. Penny L Van Alstyne, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 590 Court St, Keene, NH 03431 Phone: 603-354-5400
Rosalind P Vara-good, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 590 Court St, Keene, NH 03431 Phone: 603-354-5400
Carol Arsenault, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 351 Winchester St, Keene, NH 03431 Phone: 603-352-3406 Fax: 603-352-3416

Nicole Marie Long, APRN, PMHNP-BC - Medicare Nurse Practitioner in Keene, NH