Mary Kate Long, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Orland, California. Her current practice location is
750 E Walker St Ste A, Orland, California. You can reach out to her office (for appointments etc.) via phone at
(530) 865-4400.
Mary Kate Long is licensed to practice in California (license number 95030912) 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 1841079753.
Provider's Profile
| Full Name | Mary Kate Long |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 750 E Walker St Ste A, Orland, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1841079753
- Provider Enumeration Date: 09/28/2023
- Last Update Date: 12/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345751996
- Enrollment ID: I20250619001307
Medical Identifiers
Medical identifiers for Mary Kate Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841079753 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 95334773 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95030912 (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. Mary Kate Long allows following entities to bill medicare on her behalf.
| Entity Name | American Specialty Physicians Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1568992923
PECOS PAC ID: 6103198460
Enrollment ID: O20170821003230 |
|---|
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. Mary Kate 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 |
|---|
Mary Kate Long, FNP-C
750 E Walker St Ste A,
Orland, CA 95963-2222
Ph: Not Available | Mary Kate Long, FNP-C
750 E Walker St Ste A,
Orland, CA 95963-2222
Ph: (530) 865-4400 |
Reviews and Comments