Angela Long Prentice, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.063987 Issued in OH

Practice address

9000 N Main St
Ste 202
Englewood, OH 45415-1165

Phone

(937) 832-9700

Fax

(937) 832-8663

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Wright State University Boonshoft School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Samaritan Family Care IncGroup PAC ID 5092608372, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fidelity Health Care Home health agency, Moraine, OH, CCN 367160
• Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Merit-based Incentive Payment System (MIPS)

Final score

87.94 of 100Reported as group

Quality

80.85

Promoting interoperability

99

Improvement activities

40

Cost

79.78

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Samaritan Family Care Inc

  • Family Medicine Physician
  • Moraine, OH
  • NPI 1659503886
  Medicare reassignment Care Compare group NPD
• Samaritan Family Care Inc

  • Internal Medicine Physician
  • Dayton, OH
  • NPI 1356396436
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fidelity Health Care Inc

  • Home Health Agency
  • Moraine, OH
  • NPI 1235127838
  Care Compare affiliation
• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1770523185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST",
            "address_2": "STE 202",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "454151165",
            "telephone_number": "937-832-9700",
            "fax_number": "937-832-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST",
            "address_2": "STE 202",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "454151165",
            "telephone_number": "937-832-9700",
            "fax_number": "937-832-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG PRENTICE",
        "first_name": "ANGELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.063987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0984403",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April N. Lewis
• Limitless Recovery Inc.
• Vicky Lynn Lindsey
• Hannah Lingg, APRN
• Hannah Marie Logan
• Alexander Benjamin Long, MD
• Wanda Long
• Diana Lowe
• Marissa Lown, DO
• Jessica G Luckenbill, PA

• Family Medicine Physician in Englewood, OH
• Providers in Englewood, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.