Angela Desiree Long, FNP-BC, PMHNP-BC in Middle River, MD

Angela Desiree Long, FNP-BC, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Middle River, Maryland. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Long Integrated Psychiatric Services Llc and her current practice location is 11560 Crossroads Cir Ste 102, Middle River, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 508-0722.

Angela Desiree Long is licensed to practice in Maryland (license number R192628) 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 1720458706.

Contact Information

	Angela Desiree Long, FNP-BC, PMHNP-BC
	11560 Crossroads Cir Ste 102, Middle River, MD 21220-2885
	(410) 508-0722
	Not Available

Map and Direction

Provider's Profile

Full Name	Angela Desiree Long
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	11560 Crossroads Cir Ste 102, Middle River, Maryland
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:

Angela Desiree Long graduated from nursing school in 2020

NPI Data:

NPI Number: 1720458706
Provider Enumeration Date: 10/02/2015
Last Update Date: 06/28/2022

Medicare PECOS Information:

PECOS PAC ID: 8527360924
Enrollment ID: I20151231000276

Medical Identifiers

Medical identifiers for Angela Desiree Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720458706	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R192628 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R192628 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Long Integrated Psychiatric Services Llc	9436567831	2

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. Angela Desiree Long allows following entities to bill medicare on her behalf.

Entity Name	Mnr Industries Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457478703 PECOS PAC ID: 7416908843 Enrollment ID: O20050204000088

Entity Name	Long Integrated Psychiatric Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790366193 PECOS PAC ID: 9436567831 Enrollment ID: O20210426000026

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. Angela Desiree 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
Angela Desiree Long, FNP-BC, PMHNP-BC 11560 Crossroads Cir Ste 102, Middle River, MD 21220-2885 Ph: (410) 508-0722	Angela Desiree Long, FNP-BC, PMHNP-BC 11560 Crossroads Cir Ste 102, Middle River, MD 21220-2885 Ph: (410) 508-0722

Reviews and Comments

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Angela Desiree Long, FNP-BC, PMHNP-BC - Medicare Nurse Practitioner in Middle River, MD