Sarah A Long, CDCA is a medicare enrolled "Social Worker" provider in Fairborn, Ohio. Her current practice location is
302 W Main St, Fairborn, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 281-4673.
Sarah A Long is licensed to practice in Ohio (license number S.2310236) 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 1982219549.
Healthcare Provider's Profile
| Full Name | Sarah A Long |
|---|
| Gender | Female |
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| Speciality | Social Worker |
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| Location | 302 W Main St, Fairborn, Ohio |
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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: 1982219549
- Provider Enumeration Date: 09/10/2020
- Last Update Date: 01/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567983802
- Enrollment ID: I20250304000637
Medical Identifiers
Medical identifiers for Sarah A Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982219549 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDCII.161789 (Ohio) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | CDCA.172720 (Ohio) | Secondary |
| 104100000X | Social Worker | S.2310236 (Ohio) | Primary |
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. Sarah A 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 |
|---|
Sarah A Long, CDCA
100 Crowne Point Pl,
Cincinnati, OH 45241-5427
Ph: (513) 743-7628 | Sarah A Long, CDCA
302 W Main St,
Fairborn, OH 45324-5037
Ph: (937) 281-4673 |
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