Dr Mary Ann Long, MD is a medicare enrolled "Multi-specialty" physician in Morgantown, West Virginia. She went to West Virginia University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice United Summit Center Inc and her current practice location is
1 Medical Center Drive, Morgantown, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 598-6900.
Dr Mary Ann Long is licensed to practice in West Virginia (license number 21188) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1679685150.
Physician's Profile
| Full Name | Dr Mary Ann Long |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 23 Years |
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| Location | 1 Medical Center Drive, Morgantown, West Virginia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mary Ann Long attended and graduated from West Virginia University School Of Medicine in 2001
NPI Data:
- NPI Number: 1679685150
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 09/22/2015
Medicare PECOS Information:
- PECOS PAC ID: 6709864309
- Enrollment ID: I20040709001360
Medical Identifiers
Medical identifiers for Dr Mary Ann Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679685150 | NPI | - | NPPES |
| 3810000059 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 21188 (West Virginia) | Secondary |
| 193200000X | Multi-specialty | 21188 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| United Summit Center Inc | 6002803988 | 12 |
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 Mary Ann Long allows following entities to bill medicare on her behalf.
| Entity Name | United Summit Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750332524
PECOS PAC ID: 6002803988
Enrollment ID: O20040430000886 |
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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. Dr Mary Ann 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 |
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Dr Mary Ann Long, MD
900 Fairmont Rd,
Morgantown, WV 26501-3847
Ph: (304) 598-2233 | Dr Mary Ann Long, MD
1 Medical Center Drive,
Morgantown, WV 26506
Ph: (304) 598-6900 |
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