Mrs Jacqueline A Long, in Danville, IL - Medicare Nurse Practitioner

Mrs Jacqueline A Long, is a medicare enrolled "Nurse Practitioner - Family" in Danville, Illinois. Her current practice location is 311 West Fairchild Street, Danville, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 431-7700.

Mrs Jacqueline A Long is licensed to practice in Illinois (license number 209009428) 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 1578837670.

Contact Information

	Mrs Jacqueline A Long,
	311 West Fairchild Street, Danville, IL 61837-3876
	(217) 431-7700
	(217) 431-7850

Map and Direction

Provider's Profile

Full Name	Mrs Jacqueline A Long
Gender	Female
Speciality	Nurse Practitioner - Family
Location	311 West Fairchild Street, Danville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578837670
Provider Enumeration Date: 03/07/2012
Last Update Date: 01/23/2015

Medicare PECOS Information:

PECOS PAC ID: 2769646520
Enrollment ID: I20120607000638

Medical Identifiers

Medical identifiers for Mrs Jacqueline A Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578837670	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209009428 (Illinois)	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. Mrs Jacqueline A Long allows following entities to bill medicare on her behalf.

Entity Name	Carle Health Care Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829

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 Jacqueline A 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
Mrs Jacqueline A Long, 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792	Mrs Jacqueline A Long, 311 West Fairchild Street, Danville, IL 61837-3876 Ph: (217) 431-7700

Reviews and Comments

Nurse Practitioner Nurses in Danville, IL

Kara Kaye Sharpf, RN, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 N Logan Ave, Danville, IL 61832 Phone: 217-477-4770 Fax: 217-444-4977
Jennifer Lynn Laubscher, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Madison St, Danville, IL 61832 Phone: 217-431-7888 Fax: 217-431-7634
Mrs. Anasooyadevi Vijay, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1900 E Main Street, Danville, IL 61832 Phone: 217-554-3000
Mrs. Jessica Scot Gay, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3545 N Vermilion St, Danville, IL 61832 Phone: 217-651-6801
Randi M Morgan, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 812 N Logan Ave, Danville, IL 61832 Phone: 217-443-5000 Fax: 217-443-1965
Kassandra Nicole Goodwin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 N Logan Ave, Danville, IL 61832 Phone: 217-477-4770
Mrs. Susan E. Jordan, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 N Logan Avenue, Danville Polyclinic, Ltd., Danville, IL 61832 Phone: 217-477-4720 Fax: 217-477-4758

Mrs Jacqueline A Long, - Medicare Nurse Practitioner in Danville, IL