Wanda K Long, ACNP-BC in Palm Desert, CA - Medicare Nurse Practitioner

Wanda K Long, ACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Palm Desert, California. Her current practice location is 40891 Breezy Pass Rd, Palm Desert, California. You can reach out to her office (for appointments etc.) via phone at (757) 714-0916.

Wanda K Long is licensed to practice in California (license number 95013493) 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 1003456609.

Contact Information

	Wanda K Long, ACNP-BC
	40891 Breezy Pass Rd, Palm Desert, CA 92211-7263
	(757) 714-0916
	Not Available

Map and Direction

Provider's Profile

Full Name	Wanda K Long
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	40891 Breezy Pass Rd, Palm Desert, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003456609
Provider Enumeration Date: 01/10/2020
Last Update Date: 01/10/2020

Medicare PECOS Information:

PECOS PAC ID: 9537597976
Enrollment ID: I20200317001775

Medical Identifiers

Medical identifiers for Wanda K Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003456609	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95013493 (California)	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. Wanda K Long allows following entities to bill medicare on her behalf.

Entity Name	Life Connect Medical, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245489384 PECOS PAC ID: 7416017751 Enrollment ID: O20081117000684

Entity Name	White Feather Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710595392 PECOS PAC ID: 8628496171 Enrollment ID: O20200915001737

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. Wanda K 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
Wanda K Long, ACNP-BC 40891 Breezy Pass Rd, Palm Desert, CA 92211-7263 Ph: (757) 714-0916	Wanda K Long, ACNP-BC 40891 Breezy Pass Rd, Palm Desert, CA 92211-7263 Ph: (757) 714-0916

Reviews and Comments

Nurse Practitioner Nurses in Palm Desert, CA

Margaret Carrizosa, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41990 Cook St Ste F1007, Palm Desert, CA 92211 Phone: 760-565-6969 Fax: 760-565-6966
Ivy H Vu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 74333 Ca-111, Ste 204, Palm Desert, CA 92260 Phone: 760-507-5921
Ms. Nancy Elizabeth Peterson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 72630 Fred Waring Dr, Palm Desert, CA 92260 Phone: 760-674-1923 Fax: 760-834-7445
Ms. Denise Alexander Swank, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 75036 Gerald Ford Dr, Palm Desert, CA 92211 Phone: 760-834-2500
Ms. Eola Anne Bentley-force, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 72650 Fred Waring Dr, Suite 214, Palm Desert, CA 92260 Phone: 760-776-7999 Fax: 760-776-7994
Callie Marie Briggs, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 74020 Alessandro Dr Ste B, Palm Desert, CA 92260 Phone: 760-837-8827 Fax: 760-773-1225

Wanda K Long, ACNP-BC - Medicare Nurse Practitioner in Palm Desert, CA