Tracey Ellen Longstreth, APN in Hamburg, AR - Medicare Nurse Practitioner

Tracey Ellen Longstreth, APN is a medicare enrolled "Nurse Practitioner - Family" in Hamburg, Arkansas. Her current practice location is 319 W Parker St, Hamburg, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 853-8271.

Tracey Ellen Longstreth is licensed to practice in Arkansas (license number A004390) 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 1033597802.

Contact Information

	Tracey Ellen Longstreth, APN
	319 W Parker St, Hamburg, AR 71646-3121
	(870) 853-8271
	Not Available

Map and Direction

Provider's Profile

Full Name	Tracey Ellen Longstreth
Gender	Female
Speciality	Nurse Practitioner - Family
Location	319 W Parker St, Hamburg, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033597802
Provider Enumeration Date: 05/13/2015
Last Update Date: 05/16/2023

Medicare PECOS Information:

PECOS PAC ID: 5991016081
Enrollment ID: I20150616001301

Medical Identifiers

Medical identifiers for Tracey Ellen Longstreth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033597802	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A004390 (Arkansas)	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. Tracey Ellen Longstreth allows following entities to bill medicare on her behalf.

Entity Name	Crossett Health Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093084808 PECOS PAC ID: 9133030117 Enrollment ID: O20120314000287

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. Tracey Ellen Longstreth 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
Tracey Ellen Longstreth, APN 12 Winona Dr, Maumelle, AR 72113-6301 Ph: (501) 251-5320	Tracey Ellen Longstreth, APN 319 W Parker St, Hamburg, AR 71646-3121 Ph: (870) 853-8271

Reviews and Comments

Nurse Practitioner Nurses in Hamburg, AR

Ashley Cannon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 W Parker St, Hamburg, AR 71646 Phone: 870-853-8271
Cynthia Dianne Stahley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1109 Cub Drive, Hamburg, AR 71646 Phone: 870-224-0116 Fax: 877-751-3582
Zanna Linder, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 W Parker St, Hamburg, AR 71646 Phone: 870-853-8271
Holly Nicole Frisby, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 319 W Parker St, Hamburg, AR 71646 Phone: 870-853-8271 Fax: 870-853-8236
Ms. Rebecca Lynn Amos, BSN-C APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 W Parker St, Hamburg, AR 71646 Phone: 870-853-8271 Fax: 870-853-8932
Spencer Chad Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 406 E Saint Louis St, Hamburg, AR 71646 Phone: 870-831-5016

Tracey Ellen Longstreth, APN - Medicare Nurse Practitioner in Hamburg, AR