Dr Jennifer Suzanne Long, PSYD is a medicare enrolled "Psychologist - Clinical" provider in West Plains, Missouri. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
408 Washington Ave, Ste 107, West Plains, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 255-8790.
Dr Jennifer Suzanne Long is licensed to practice in Missouri (license number 2010030531) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1639280688.
Healthcare Provider's Profile
| Full Name | Dr Jennifer Suzanne Long |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Psychologist |
|---|
| Experience | 14 Years |
|---|
| Location | 408 Washington Ave, West Plains, Missouri |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Jennifer Suzanne Long graduated from medical school in 2010
NPI Data:
- NPI Number: 1639280688
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 06/28/2017
Medicare PECOS Information:
- PECOS PAC ID: 3678797842
- Enrollment ID: I20170712003594
Medical Identifiers
Medical identifiers for Dr Jennifer Suzanne Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639280688 | NPI | - | NPPES |
| 497555003 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 2010030531 (Missouri) | 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. Dr Jennifer Suzanne Long allows following entities to bill medicare on her behalf.
| Entity Name | Midwest Counseling And Assessment, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1841720547
PECOS PAC ID: 7911276530
Enrollment ID: O20170712003474 |
|---|
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. Dr Jennifer Suzanne 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 |
|---|
Dr Jennifer Suzanne Long, PSYD
408 Washington Ave, Ste 107,
West Plains, MO 65775-3404
Ph: (417) 255-8790 | Dr Jennifer Suzanne Long, PSYD
408 Washington Ave, Ste 107,
West Plains, MO 65775-3404
Ph: (417) 255-8790 |
Reviews and Comments