Kelly Ann Long, is a medicare enrolled "Speech-language Pathologist" provider in Cave Springs, Arkansas. Her current practice location is
5710 S 66th St, Cave Springs, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 601-3537.
Kelly Ann Long is licensed to practice in Arkansas (license number 506) 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 1649906033.
Healthcare Provider's Profile
| Full Name | Kelly Ann Long |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 5710 S 66th St, Cave Springs, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649906033
- Provider Enumeration Date: 07/27/2022
- Last Update Date: 07/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 7416331871
- Enrollment ID: I20220902000594
Medical Identifiers
Medical identifiers for Kelly Ann Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649906033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 506 (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. Kelly Ann Long allows following entities to bill medicare on her behalf.
| Provider Name | Legacy Healthcare Services Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1023684370
PECOS PAC ID: 2163339722
Enrollment ID: O20210825003977 |
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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. Kelly Ann 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 |
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Kelly Ann Long,
5710 S 66th St,
Cave Springs, AR 72718-8447
Ph: (479) 601-3537 | Kelly Ann Long,
5710 S 66th St,
Cave Springs, AR 72718-8447
Ph: (479) 601-3537 |
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