Matthew S Long, CRNA in Jackson, TN - Medicare Nurse Anesthetist, Certified Registered

Matthew S Long, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jackson, Tennessee. His current practice location is 17c Brentshire Square, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 664-1717.

Matthew S Long is licensed to practice in Tennessee (license number APN0000009329) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093707945.

Contact Information

	Matthew S Long, CRNA
	17c Brentshire Square, Jackson, TN 38305-2273
	(731) 664-1717
	(731) 664-7114

Map and Direction

Provider's Profile

Full Name	Matthew S Long
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	17c Brentshire Square, Jackson, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093707945
Provider Enumeration Date: 08/17/2005
Last Update Date: 05/21/2020

Medicare PECOS Information:

PECOS PAC ID: 2567658859
Enrollment ID: I20101129000830

Medical Identifiers

Medical identifiers for Matthew S Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093707945	NPI	-	NPPES
3607376	Medicaid	TN
1521318	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN0000067803 (Tennessee)	Secondary
163W00000X	Registered Nurse	RN0000057803 (Tennessee)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APN0000009329 (Tennessee)	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. Matthew S Long allows following entities to bill medicare on his behalf.

Entity Name	West Tennessee Anesthesia, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427137280 PECOS PAC ID: 8921078312 Enrollment ID: O20040731000339

Entity Name	Shamrock Community Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033878277 PECOS PAC ID: 8325422082 Enrollment ID: O20220829003239

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. Matthew S 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
Matthew S Long, CRNA 17c Brentshire Square, Jackson, TN 38305-2273 Ph: (731) 664-1717	Matthew S Long, CRNA 17c Brentshire Square, Jackson, TN 38305-2273 Ph: (731) 664-1717

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Jackson, TN

Robert Wallace, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 367 Hospital Blvd, Jackson, TN 38305 Phone: 731-661-2227
Brendan Mckinney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075
Ryan Shephard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075
Daniel T Hurst, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-668-1853 Fax: 731-664-7731
Pamela J Austin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-662-1853 Fax: 731-664-7731
Jason L. Hooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000
Kenneth W Hutchinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 17c Brentshire Square, Jackson, TN 38305 Phone: 731-664-1717 Fax: 731-664-7114

Matthew S Long, CRNA - Medicare Nurse Anesthetist, Certified Registered in Jackson, TN