Danielle Denise Long, PMHNP in Montclair, CA - Medicare Nurse Practitioner

Danielle Denise Long, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Montclair, California. Her current practice location is Po Box 3181, Montclair, California. You can reach out to her office (for appointments etc.) via phone at (424) 571-2126.

Danielle Denise Long is licensed to practice in California (license number 95031614) 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 1013739705.

Contact Information

	Danielle Denise Long, PMHNP
	Po Box 3181, Montclair, CA 91763-9281
	(424) 571-2126
	Not Available

Map and Direction

Provider's Profile

Full Name	Danielle Denise Long
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	Po Box 3181, Montclair, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013739705
Provider Enumeration Date: 10/25/2024
Last Update Date: 10/25/2024

Medicare PECOS Information:

PECOS PAC ID: 4587199336
Enrollment ID: I20241203001475

Medical Identifiers

Medical identifiers for Danielle Denise Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013739705	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95031614 (California)	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. Danielle Denise Long allows following entities to bill medicare on her behalf.

Entity Name	Santa Barbara Neighborhood Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265458434 PECOS PAC ID: 3870550247 Enrollment ID: O20041216001047

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. Danielle Denise 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
Danielle Denise Long, PMHNP Po Box 3181, Montclair, CA 91763-9281 Ph: (213) 258-9413	Danielle Denise Long, PMHNP Po Box 3181, Montclair, CA 91763-9281 Ph: (424) 571-2126

Reviews and Comments

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Danielle Denise Long, PMHNP - Medicare Nurse Practitioner in Montclair, CA