Theresa A Longo, MD in Riverside, CA

Theresa A Longo, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Riverside, California. Her current practice location is 17575 Wicker Way, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 780-9389.

Theresa A Longo is licensed to practice in California (license number G59848) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902990518.

Contact Information

	Theresa A Longo, MD
	17575 Wicker Way, Riverside, CA 92504-9563
	(951) 780-9389
	(951) 780-9389

Map and Direction

Physician's Profile

Full Name	Theresa A Longo
Gender	Female
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	17575 Wicker Way, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902990518
Provider Enumeration Date: 10/03/2006
Last Update Date: 12/26/2022

Medicare PECOS Information:

PECOS PAC ID: 8224178850
Enrollment ID: I20091212000030

Medical Identifiers

Medical identifiers for Theresa A Longo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902990518	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	G59848 (California)	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. Theresa A Longo allows following entities to bill medicare on her behalf.

Entity Name	Apex Hospitalist Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669899225 PECOS PAC ID: 6507083441 Enrollment ID: O20140815002344

Entity Name	Seven Star Hospital Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043813140 PECOS PAC ID: 4789083338 Enrollment ID: O20210601002852

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. Theresa A Longo 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
Theresa A Longo, MD 17575 Wicker Way, Riverside, CA 92504-9563 Ph: (951) 961-6529	Theresa A Longo, MD 17575 Wicker Way, Riverside, CA 92504-9563 Ph: (951) 780-9389

Reviews and Comments

Pediatrics Doctors in Riverside, CA

Iris Figueroa Lois, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6405 Day St, Riverside, CA 92507 Phone: 951-697-5432 Fax: 951-697-5471
Dr. Stacy Marie Catalon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19314 Jesse Ln, Riverside, CA 92508 Phone: 951-782-3640
Dr. Hisham Ahmad Labanieh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 951-353-2000
Mohammad Shujauddin Siddiqui, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10769 Hole Ave, Suite 220, Riverside, CA 92505 Phone: 951-358-5554 Fax: 951-358-5980
Beth L. Drake, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000
Thomas J Chen, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-782-3849 Fax: 951-784-3271
Clark Larkin Gifford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-782-3685 Fax: 951-784-3256

Theresa A Longo, MD - Medicare Pediatrics in Riverside, CA