Lisa Lavonn Long, RN CNS - Medicare Clinical Nurse Specialist in Plymouth, MN

Lisa Lavonn Long, RN CNS is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Plymouth, Minnesota. Her current practice location is 2800 Campus Dr, Suite 30, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 398-2203.

Lisa Lavonn Long is licensed to practice in Minnesota (license number R1414190) 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 1801072020.

Contact Information

Lisa Lavonn Long, RN CNS
2800 Campus Dr, Suite 30,
Plymouth, MN 55441-2645
(763) 398-2203
(763) 398-2233



Provider's Profile

Full NameLisa Lavonn Long
GenderFemale
SpecialityClinical Nurse Specialist - Adult Health
Location2800 Campus Dr, Plymouth, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801072020
  • Provider Enumeration Date: 01/17/2008
  • Last Update Date: 06/27/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1254416845
  • Enrollment ID: I20080306000355

Medical Identifiers

Medical identifiers for Lisa Lavonn Long such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801072020NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SA2200XClinical Nurse Specialist - Adult Health R1414190 (Minnesota)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. Lisa Lavonn Long allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532

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Entity NameWest Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053311399
PECOS PAC ID: 7315833720
Enrollment ID: O20040429001479

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Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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Catalyst Health Solutions ranks 14th on the Fortune 100 Fastest-Growing Companies list

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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. Lisa Lavonn 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 AddressPractice Location Address
Lisa Lavonn Long, RN CNS
Division Of Vascular Surgery, Mmc 195, 420 Delaware Street Se Mmc 195,
Minneapolis, MN 55455

Ph: (612) 626-4893
Lisa Lavonn Long, RN CNS
2800 Campus Dr, Suite 30,
Plymouth, MN 55441-2645

Ph: (763) 398-2203

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Healthy eating tips for diabetics

A new case of diabetes strikes every 20 seconds. With nearly 24 million Americans of all ages affected by the disease and an additional 57 million at risk for diabetes, diabetes has reached epidemic proportions.(1) If current trends continue, one out of three children will live with diabetes sometime in their future.

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› Verified 9 days ago


Clinical Nurse Specialist Nurses in Plymouth, MN

Andrea Winick, RN, CNP
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 12755 Highway 55, Mn009-s130, Plymouth, MN 55441
Phone: 800-896-8936    Fax: 888-866-3209

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