Ms Kelly Patricia Long, APRN, CPNP in Grove, OK

Ms Kelly Patricia Long, APRN, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Grove, Oklahoma. Her current practice location is 900 E 13th St, Suite 101, Grove, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 786-9900.

Ms Kelly Patricia Long is licensed to practice in Oklahoma (license number 61374) 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 1447551817.

Contact Information

	Ms Kelly Patricia Long, APRN, CPNP
	900 E 13th St, Suite 101, Grove, OK 74344-2975
	(918) 786-9900
	(918) 786-9904

Map and Direction

Provider's Profile

Full Name	Ms Kelly Patricia Long
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	900 E 13th St, Grove, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447551817
Provider Enumeration Date: 11/16/2010
Last Update Date: 04/05/2017

Medicare PECOS Information:

PECOS PAC ID: 9537477856
Enrollment ID: I20151006000432

Medical Identifiers

Medical identifiers for Ms Kelly Patricia Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447551817	NPI	-	NPPES
200311440A	Medicaid	OK
200505990H	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	61374 (Oklahoma)	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. Ms Kelly Patricia Long allows following entities to bill medicare on her behalf.

Entity Name	Integris Grove Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134720592 PECOS PAC ID: 0042105835 Enrollment ID: O20040219000842

Entity Name	Integris Ambulatory Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354

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. Ms Kelly Patricia 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
Ms Kelly Patricia Long, APRN, CPNP 5300 N Independence Ave, 280, Oklahoma City, OK 73112-5556 Ph: (918) 786-9900	Ms Kelly Patricia Long, APRN, CPNP 900 E 13th St, Suite 101, Grove, OK 74344-2975 Ph: (918) 786-9900

Reviews and Comments

Nurse Practitioner Nurses in Grove, OK

Sarah Davis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1121 Neo Loop, Grove, OK 74344 Phone: 918-786-8448
Ms. Dorothy Ann Mayes, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1121 Neo Loop, Grove, OK 74344 Phone: 918-786-8448 Fax: 918-786-3483
Christopher Gray, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 E 13th St Ste 101, Grove, OK 74344 Phone: 918-786-9009 Fax: 405-951-9921
Tracy L Fry, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1121 Neo Loop, Grove, OK 74344 Phone: 877-783-4441
Emily Ann Chandler, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 E 13th St, Grove, OK 74344 Phone: 918-786-1909 Fax: 918-787-3866
Amber Davis, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 E 13th St Ste 200, Grove, OK 74344 Phone: 918-592-0999
Joseph James Gelinas, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 S Broadway St, Grove, OK 74344 Phone: 918-786-0800 Fax: 918-786-0876

Ms Kelly Patricia Long, APRN, CPNP - Medicare Nurse Practitioner in Grove, OK