Mrs Harriett Gayle Long, CCC-SLP in Bentonville, AR - Medicare Speech-Language Pathologist Provider

Mrs Harriett Gayle Long, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Bentonville, Arkansas. Her current practice location is 2713 Se I St Ste 5, Bentonville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 250-4355.

Mrs Harriett Gayle Long is licensed to practice in Missouri (license number 2023027329) 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 1215610886.

Contact Information

	Mrs Harriett Gayle Long, CCC-SLP
	2713 Se I St Ste 5, Bentonville, AR 72712-0078
	(479) 250-4355
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Harriett Gayle Long
Gender	Female
Speciality	Speech-language Pathologist
Location	2713 Se I St Ste 5, Bentonville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215610886
Provider Enumeration Date: 08/10/2023
Last Update Date: 11/06/2024

Medicare PECOS Information:

PECOS PAC ID: 8224553482
Enrollment ID: I20250421001171

Medical Identifiers

Medical identifiers for Mrs Harriett Gayle Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215610886	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	2023027329 (Missouri)	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 Harriett Gayle Long allows following entities to bill medicare on her behalf.

Provider Name	Key Rehabilitation, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1821335613 PECOS PAC ID: 9638086432 Enrollment ID: O20040122000405

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 Harriett Gayle 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 Harriett Gayle Long, CCC-SLP 3611 Ambrosia Ln, Bentonville, AR 72712-3054 Ph: (417) 669-6598	Mrs Harriett Gayle Long, CCC-SLP 2713 Se I St Ste 5, Bentonville, AR 72712-0078 Ph: (479) 250-4355

Reviews and Comments

Speech-Language Pathologist in Bentonville, AR

Mitchell David Barker, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1202 Ne Mcclain Rd, Bentonville, AR 72712 Phone: 616-255-6609
Sarah Elizabeth Gilberg Woodard, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 810 Bella Vista Rd, Bentonville, AR 72712 Phone: 479-254-5873
Bailey Uldrich, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Se 28th St, Bentonville, AR 72712 Phone: 479-521-8326
Stephanie R. L. Hall, MA, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 202 N Walton Blvd Ste 34, Bentonville, AR 72712 Phone: 479-431-6141 Fax: 479-282-0414
Absolute Pediatric Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2713 Se I St Ste 5, Bentonville, AR 72712 Phone: 479-250-4355 Fax: 479-553-7954
Mrs. Carly Nicole Glaess, M.S., CF- SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2201 E Central Ave, Bentonville, AR 72712 Phone: 479-936-1061
Mrs. Katrina Brooke Ortiz, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Tiger Blvd, Bentonville, AR 72712 Phone: 479-254-5510

Mrs Harriett Gayle Long, CCC-SLP - Medicare Speech-Language Pathologist in Bentonville, AR