Dr Jerome Myron Long, MD in Fayetteville, AR

Dr Jerome Myron Long, MD is a medicare enrolled "Internal Medicine" physician in Fayetteville, Arkansas. His current practice location is 1100 N College Ave, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 444-5016.

Dr Jerome Myron Long is licensed to practice in Wyoming (license number TL4463) 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 1326143959.

Contact Information

	Dr Jerome Myron Long, MD
	1100 N College Ave, Fayetteville, AR 72703-1944
	(479) 444-5016
	(479) 587-5980

Map and Direction

Physician's Profile

Full Name	Dr Jerome Myron Long
Gender	Male
Speciality	Internal Medicine
Location	1100 N College Ave, Fayetteville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326143959
Provider Enumeration Date: 09/14/2006
Last Update Date: 07/09/2018

Medicare PECOS Information:

PECOS PAC ID: 4981886793
Enrollment ID: I20110315000262

Medical Identifiers

Medical identifiers for Dr Jerome Myron Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326143959	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	TL4463 (Wyoming)	Primary
207R00000X	Internal Medicine	16355 (Oklahoma)	Secondary

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 Jerome Myron Long allows following entities to bill medicare on his behalf.

Entity Name	Integris Ambulatory Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354

Entity Name	Rha Stroud, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437107117 PECOS PAC ID: 6204915200 Enrollment ID: O20100727001028

Entity Name	Midwest Hospital Medicine Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124388855 PECOS PAC ID: 4880841618 Enrollment ID: O20120829000397

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 Jerome Myron 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
Dr Jerome Myron Long, MD 1100 N College Ave, Fayetteville, AR 72703-1944 Ph: (479) 444-5016	Dr Jerome Myron Long, MD 1100 N College Ave, Fayetteville, AR 72703-1944 Ph: (479) 444-5016

Reviews and Comments

Internal Medicine Doctors in Fayetteville, AR

Lauren Cantwell Paulk, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1706 E Joyce Blvd Ste 2, Fayetteville, AR 72703 Phone: 479-966-9370
David R Crittenden, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1408 E Elmwood Dr, Fayetteville, AR 72703 Phone: 479-442-0759
Kim R Agee, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7310
Dr. David A Churchill, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703 Phone: 479-571-4338 Fax: 479-571-4015
Dr. Marlan Levan Rhame Iii, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 Fax: 479-587-5929
Waqar M Mehal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 E Appleby, Suite 101, Fayetteville, AR 72703 Phone: 479-463-4444 Fax: 479-463-4499
Dr. Jason Glenn Daily, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7329

Dr Jerome Myron Long, MD - Medicare Internal Medicine in Fayetteville, AR