Edinam Long, DNP is a medicare enrolled "Nurse Practitioner - Family" physician in Green Bay, Wisconsin. She graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oconto Hospital And Medical Center Inc, Bellin Memorial Hospital Inc and her current practice location is
1920 Libal St, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 732-1648.
Edinam Long is licensed to practice in Wisconsin (license number 15580-33) 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 1861216384.
Physician's Profile
| Full Name | Edinam Long |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 1920 Libal St, Green Bay, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Edinam Long graduated from medical school in 2024
NPI Data:
- NPI Number: 1861216384
- Provider Enumeration Date: 11/12/2024
- Last Update Date: 08/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 7719414234
- Enrollment ID: I20241223002020
Medical Identifiers
Medical identifiers for Edinam Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861216384 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 15580-33 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 15580-33 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Oconto Hospital And Medical Center Inc | 2163461781 | 188 |
| Bellin Memorial Hospital Inc | 8820900749 | 536 |
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. Edinam Long allows following entities to bill medicare on her behalf.
| Entity Name | Bellin Memorial Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609838473
PECOS PAC ID: 8820900749
Enrollment ID: O20031121000089 |
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| Entity Name | Oconto Hospital & Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356373302
PECOS PAC ID: 2163461781
Enrollment ID: O20050713000836 |
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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. Edinam 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 |
|---|
Edinam Long, DNP
W2261 Woodridge Dr,
Marinette, WI 54143-9752
Ph: (574) 540-1482 | Edinam Long, DNP
1920 Libal St,
Green Bay, WI 54301-2471
Ph: (715) 732-1648 |
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