Mrs Mardie Anne Long, APRN in Independence, KS

Mrs Mardie Anne Long, APRN is a medicare enrolled "Nurse Practitioner - Family" in Independence, Kansas. Her current practice location is 1415 N Penn Ave, Independence, Kansas. You can reach out to her office (for appointments etc.) via phone at (620) 331-2400.

Mrs Mardie Anne Long is licensed to practice in Kansas (license number 75225) 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 1215244975.

Contact Information

	Mrs Mardie Anne Long, APRN
	1415 N Penn Ave, Independence, KS 67301-0314
	(620) 331-2400
	(620) 331-2405

Map and Direction

Provider's Profile

Full Name	Mrs Mardie Anne Long
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1415 N Penn Ave, Independence, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215244975
Provider Enumeration Date: 09/01/2010
Last Update Date: 02/23/2021

Medicare PECOS Information:

PECOS PAC ID: 4486848827
Enrollment ID: I20101029001287

Medical Identifiers

Medical identifiers for Mrs Mardie Anne Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215244975	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	75225 (Kansas)	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. Mrs Mardie Anne Long allows following entities to bill medicare on her behalf.

Entity Name	Wilson County Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992842942 PECOS PAC ID: 0042273971 Enrollment ID: O20041119000995

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. Mrs Mardie Anne 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
Mrs Mardie Anne Long, APRN Po Box 360, Neodesha, KS 66757-0360 Ph: (620) 325-8336	Mrs Mardie Anne Long, APRN 1415 N Penn Ave, Independence, KS 67301-0314 Ph: (620) 331-2400

Reviews and Comments

Nurse Practitioner Nurses in Independence, KS

Jodi Oder, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 W Laurel St, Independence, KS 67301 Phone: 620-332-3280 Fax: 620-332-3281
Ms. Amanda Leigh Denton, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3751 W Main St, Independence, KS 67301 Phone: 620-331-1748 Fax: 620-331-1940
Mary Ann Garner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 W Myrtle St, Independence, KS 67301 Phone: 620-331-8190
Rachael Cecelia Brooks, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 E Main St, Independence, KS 67301 Phone: 620-330-1000
Erica Lea Whitson, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 W Laurel St, Independence, KS 67301 Phone: 620-332-3280 Fax: 620-332-3281
Mrs. Linda L Forbes, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Arco Pl, Suite 333, Independence, KS 67301 Phone: 620-331-5440 Fax: 620-331-3791

Mrs Mardie Anne Long, APRN - Medicare Nurse Practitioner in Independence, KS