Long Integrated Psychiatric Services LLC
A Medicare group practice based in Baltimore, MD: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9436567831), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9436567831
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MD
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20210426000026 | MD | Part B Supplier - Clinic/Group Practice | 1790366193 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Long Integrated Psychiatric Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Middle River, MD
- NPI 1790366193
-
Long Integrated Psychiatric Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Middle River, MD
- NPI 1033878137
Practice locations
- Middle River, MD1
- Baltimore, MD1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).
-
Angela Desiree Long, FNP-BC, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Middle River, MD
- NPI 1720458706
-
Rebecca Noll, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1720752173
-
Anastasia Leigh Tusa, CRNP-PMH
- Psychiatric/Mental Health Nurse Practitioner
- Easton, MD
- NPI 1063777043
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.