Mrs Prabha Jaishwal Long, FNP in Elizabethton, TN

Mrs Prabha Jaishwal Long, FNP is a medicare enrolled "Nurse Practitioner - Family" in Elizabethton, Tennessee. She went to Brody School Of Medicine At East Carolina University and graduated in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Blue Ridge Medical Management Corporation and her current practice location is 1505 W Elk Ave Ste 2, Elizabethton, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 543-1261.

Mrs Prabha Jaishwal Long is licensed to practice in Tennessee (license number 24448) 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 1760965628.

Contact Information

	Mrs Prabha Jaishwal Long, FNP
	1505 W Elk Ave Ste 2, Elizabethton, TN 37643-2848
	(423) 543-1261
	(423) 543-7500

Map and Direction

Provider's Profile

Full Name	Mrs Prabha Jaishwal Long
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	1505 W Elk Ave Ste 2, Elizabethton, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Prabha Jaishwal Long attended and graduated from Brody School Of Medicine At East Carolina University in 2014

NPI Data:

NPI Number: 1760965628
Provider Enumeration Date: 09/07/2018
Last Update Date: 09/07/2018

Medicare PECOS Information:

PECOS PAC ID: 8729331236
Enrollment ID: I20181031001342

Medical Identifiers

Medical identifiers for Mrs Prabha Jaishwal Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760965628	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	24448 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sycamore Shoals Hospital	Elizabethton, TN	Hospital
Johnson City Medical Center	Johnson city, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blue Ridge Medical Management Corporation	9739099441	306

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 Prabha Jaishwal Long allows following entities to bill medicare on her behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996

Entity Name	Wellmont Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909

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 Prabha Jaishwal 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 Prabha Jaishwal Long, FNP 1505 W Elk Ave Ste 2, Elizabethton, TN 37643-2848 Ph: (423) 543-1261	Mrs Prabha Jaishwal Long, FNP 1505 W Elk Ave Ste 2, Elizabethton, TN 37643-2848 Ph: (423) 543-1261

Reviews and Comments

Nurse Practitioner Nurses in Elizabethton, TN

Teresa L Payne, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 W Elk Ave, Elizabethton, TN 37643 Phone: 423-543-2584 Fax: 423-722-2060
Mrs. Beverly Ann Bradshaw, APRN BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2521 Beechwood Dr, Elizabethton, TN 37643 Phone: 423-543-7919 Fax: 423-543-5323
Mr. Kermit L. Dugger, FNP, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1497 W Elk Ave, Suite 11, Elizabethton, TN 37643 Phone: 423-542-8929 Fax: 423-542-8621
Mrs. Ashley Danielle Bowman, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 171 Clay Little Rd, Elizabethton, TN 37643 Phone: 423-647-0404
Mrs. Tiffany Charlotte Jenkins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1497 W Elk Ave, Suite 21, Elizabethton, TN 37643 Phone: 423-542-7420 Fax: 423-542-7425
Crystal Renee Schmidt, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1641 19e Byp, Elizabethton, TN 37643 Phone: 423-542-4133 Fax: 423-542-3874
Audrey Laney, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 W Elk Ave, Elizabethton, TN 37643 Phone: 423-929-2584 Fax: 423-722-2060

Mrs Prabha Jaishwal Long, FNP - Medicare Nurse Practitioner in Elizabethton, TN