Michael A Long, MA, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Madras, Oregon. His current practice location is
390 Se 10th St, Madras, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 213-2457.
Michael A Long is licensed to practice in Oregon (license number T1425) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1558728485.
Healthcare Provider's Profile
Full Name | Michael A Long |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 390 Se 10th St, Madras, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558728485
- Provider Enumeration Date: 01/22/2016
- Last Update Date: 01/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345690392
- Enrollment ID: I20240103001610
Medical Identifiers
Medical identifiers for Michael A Long such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558728485 | NPI | - | NPPES |
500698687 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | T1425 (Oregon) | 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. Michael A Long allows following entities to bill medicare on his behalf.
Entity Name | Mosaic Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083633184 PECOS PAC ID: 5395653497 Enrollment ID: O20040528001371 |
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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. Michael A 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 |
Michael A Long, MA, LMFT 600 Sw Columbia St Ste 6210, Bend, OR 97702-1099 Ph: (541) 383-3005 | Michael A Long, MA, LMFT 390 Se 10th St, Madras, OR 97741 Ph: (541) 213-2457 |
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