Stephanie Sue Long, CRNA in Russellville, AR - Medicare Certified Registered Nurse Anesthetist (crna)

Stephanie Sue Long, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Russellville, Arkansas. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice St Mary's Specialty, Llc and her current practice location is 1808 W Main St, Russellville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 968-2841.

Stephanie Sue Long is licensed to practice in Arkansas (license number C01566) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578534970.

Contact Information

	Stephanie Sue Long, CRNA
	1808 W Main St, Russellville, AR 72801-2724
	(479) 968-2841
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie Sue Long
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	19 Years
Location	1808 W Main St, Russellville, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie Sue Long graduated from nursing school in 2005

NPI Data:

NPI Number: 1578534970
Provider Enumeration Date: 02/01/2006
Last Update Date: 06/03/2008

Medicare PECOS Information:

PECOS PAC ID: 0143238469
Enrollment ID: I20060329000059

Medical Identifiers

Medical identifiers for Stephanie Sue Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578534970	NPI	-	NPPES
771014101	Other	AR	AR BREASTCARE
P00377263	Other		RR MEDICARE GROUP #CC5970
5Y760	Other	AR	BCBS OF AR
160268001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	CTP161 (Arkansas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	C01566 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Marys Regional Medical Center	Russellville, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Mary's Specialty, Llc	5496189318	8

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. Stephanie Sue Long allows following entities to bill medicare on her behalf.

Entity Name	St Mary's Specialty, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831730670 PECOS PAC ID: 5496189318 Enrollment ID: O20200102000443

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. Stephanie Sue 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
Stephanie Sue Long, CRNA Po Box 1351, Russellville, AR 72811-1351 Ph: (800) 235-1415	Stephanie Sue Long, CRNA 1808 W Main St, Russellville, AR 72801-2724 Ph: (479) 968-2841

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Russellville, AR

Regina D Prince, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841
Hugh Hayden Hipps, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841
Mr. Clifford G Breier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841
Mr. Michael W Gund, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841

Stephanie Sue Long, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Russellville, AR