Sara Marie Long, LCSW,CSAC is a medicare enrolled "Social Worker - Clinical" provider in Green Bay, Wisconsin. She graduated from healthcare school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Bellin Psychiatric Center Inc, Bellin Psychiatric Center Inc and her current practice location is
301 E Saint Joseph St, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 433-3630.
Sara Marie Long is licensed to practice in Wisconsin (license number 9458-123) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326636044.
Healthcare Provider's Profile
| Full Name | Sara Marie Long |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 9 Years |
|---|
| Location | 301 E Saint Joseph St, Green Bay, Wisconsin |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Sara Marie Long graduated from medical school in 2017
NPI Data:
- NPI Number: 1326636044
- Provider Enumeration Date: 01/07/2021
- Last Update Date: 04/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345654448
- Enrollment ID: I20210202000343
Medical Identifiers
Medical identifiers for Sara Marie Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326636044 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17017-132 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801116062 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 9458-123 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bellin Psychiatric Center Inc | 4486551058 | 78 |
| Bellin Psychiatric Center Inc | 4486551058 | 78 |
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. Sara Marie Long allows following entities to bill medicare on her behalf.
| Entity Name | Bellin Memorial Hospital Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1609838473
PECOS PAC ID: 8820900749
Enrollment ID: O20031121000089 |
|---|
| Entity Name | Bellin Psychiatric Center Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1952554800
PECOS PAC ID: 4486551058
Enrollment ID: O20031212000884 |
|---|
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. Sara Marie 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 |
|---|
Sara Marie Long, LCSW,CSAC
Po Box 22040,
Green Bay, WI 54305-2040
Ph: (920) 445-7210 | Sara Marie Long, LCSW,CSAC
301 E Saint Joseph St,
Green Bay, WI 54301-2241
Ph: (920) 433-3630 |
Reviews and Comments