Kelly Anne Long, in Bloomington, IL - Medicare Social Worker Provider

Kelly Anne Long, is a medicare enrolled "Social Worker - Clinical" provider in Bloomington, Illinois. Her current practice location is 108 W Market St, Bloomington, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 827-5351.

Kelly Anne Long is licensed to practice in Illinois (license number 149027456) 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 1154423937.

Contact Information

	Kelly Anne Long,
	108 W Market St, Bloomington, IL 61701-3918
	(309) 827-5351
	(309) 829-6808

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Anne Long
Gender	Female
Speciality	Social Worker - Clinical
Location	108 W Market St, Bloomington, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154423937
Provider Enumeration Date: 09/02/2006
Last Update Date: 03/18/2025

Medicare PECOS Information:

PECOS PAC ID: 6305366550
Enrollment ID: I20250219000753

Medical Identifiers

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

Identifier	Type	State	Issuer
1154423937	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149027456 (Illinois)	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 Anne Long allows following entities to bill medicare on her behalf.

Entity Name	Thriveworks Clinical - Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164190633 PECOS PAC ID: 6800263823 Enrollment ID: O20221104000575

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 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
Kelly Anne Long, 913 Chippewa St, Normal, IL 61761-5758 Ph: (309) 530-5884	Kelly Anne Long, 108 W Market St, Bloomington, IL 61701-3918 Ph: (309) 827-5351

Reviews and Comments

Social Worker in Bloomington, IL

Hannah Deterding, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351
Sara Fidlow, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 309-827-6026
Daniela Michelle Van Pelt, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 888-924-3786 Fax: 309-820-3574
Jaylene Taubert, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 712 E Empire St Ste 1, Bloomington, IL 61701 Phone: 309-310-2841
Zoe Jane Baker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 N Williamsburg Dr Ste A, Bloomington, IL 61704 Phone: 309-807-5077
Beth Anne Vogel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2810 Degarmo Dr, Bloomington, IL 61704 Phone: 309-310-6465
Ms. Johanna Rayman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 W Monroe St, Suite 301, Bloomington, IL 61701 Phone: 309-310-5453

Kelly Anne Long, - Medicare Clinical Social Worker in Bloomington, IL