Mrs Cynthia J Long Roe, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Maysville, Oklahoma. She graduated from nursing school in 2001 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice South Central Medical And Resource Center Inc and her current practice location is
504 Williams, Maysville, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 756-1414.
Mrs Cynthia J Long Roe is licensed to practice in Oklahoma (license number R0040858) 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 1972531465.
Provider's Profile
| Full Name | Mrs Cynthia J Long Roe |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 25 Years |
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| Location | 504 Williams, Maysville, Oklahoma |
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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:
- Mrs Cynthia J Long Roe graduated from nursing school in 2001
NPI Data:
- NPI Number: 1972531465
- Provider Enumeration Date: 06/30/2006
- Last Update Date: 02/25/2026
Medicare PECOS Information:
- PECOS PAC ID: 4789775180
- Enrollment ID: I20070814000109
Medical Identifiers
Medical identifiers for Mrs Cynthia J Long Roe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972531465 | NPI | - | NPPES |
| 100131280B | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | R0040858 (Oklahoma) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | R0040858 (Oklahoma) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| South Central Medical And Resource Center Inc | 9032200084 | 12 |
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. Mrs Cynthia J Long Roe allows following entities to bill medicare on her behalf.
| Entity Name | South Central Medical And Resource Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366585564
PECOS PAC ID: 9032200084
Enrollment ID: O20070807000006 |
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| Entity Name | Southern Plains Medical Center Of Garvin County Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083280622
PECOS PAC ID: 5496155582
Enrollment ID: O20210617000272 |
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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. Mrs Cynthia J Long Roe 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 |
|---|
Mrs Cynthia J Long Roe, ARNP
216 S Main St,
Lindsay, OK 73052-5634
Ph: (405) 756-1414 | Mrs Cynthia J Long Roe, ARNP
504 Williams,
Maysville, OK 73057-3679
Ph: (405) 756-1414 |
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