Dr Carrol Timothy Longshore, MD in Elmhurst, NY - Medicare Psychiatry & Neurology

Dr Carrol Timothy Longshore, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Elmhurst, New York. His current practice location is 7901 Broadway, Elmhurst, New York. You can reach out to his office (for appointments etc.) via phone at (718) 334-3900.

Dr Carrol Timothy Longshore is licensed to practice in New York (license number 152826) 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 1578649786.

Contact Information

	Dr Carrol Timothy Longshore, MD
	7901 Broadway, Elmhurst, NY 11373-1329
	(718) 334-3900
	(718) 334-5958

Map and Direction

Physician's Profile

Full Name	Dr Carrol Timothy Longshore
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	7901 Broadway, Elmhurst, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578649786
Provider Enumeration Date: 10/31/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3870778137
Enrollment ID: I20150625001686

Medical Identifiers

Medical identifiers for Dr Carrol Timothy Longshore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578649786	NPI	-	NPPES
00246075	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	152826 (New York)	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. Dr Carrol Timothy Longshore allows following entities to bill medicare on his behalf.

Entity Name	Premier Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760436190 PECOS PAC ID: 1254233158 Enrollment ID: O20040122000144

Entity Name	Gs Institute Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841798774 PECOS PAC ID: 5092169938 Enrollment ID: O20230927001161

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. Dr Carrol Timothy Longshore 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
Dr Carrol Timothy Longshore, MD 7901 Broadway, Managed Care, D1-01, Elmhurst, NY 11373-1329 Ph: (718) 334-1921	Dr Carrol Timothy Longshore, MD 7901 Broadway, Elmhurst, NY 11373-1329 Ph: (718) 334-3900

Reviews and Comments

Psychiatry & Neurology Doctors in Elmhurst, NY

Dr. Martin Holiday Maurer, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-3900 Fax: 718-334-5958
Dipak Nandi, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4142 Elbertson St, 102, Elmhurst, NY 11373 Phone: 718-505-1300 Fax: 718-505-1883
David Yohai, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Room A1 9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815
Dr. Anthony Chih Duong, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7901 Broadway # D10-38, Elmhurst, NY 11373 Phone: 718-344-3512 Fax: 718-334-5006
Dr. Charles Thomas Barron, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-3900 Fax: 718-334-5958
Emmanuelle J Duterte, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7901 Broadway # D10-38, Elmhurst, NY 11373 Phone: 718-334-3501 Fax: 718-334-5006
Dr. Anna J Holmgren, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-3900 Fax: 718-334-5958

Dr Carrol Timothy Longshore, MD - Medicare Psychiatry & Neurology in Elmhurst, NY