Dr Michael James Long, OD is a medicare enrolled "Optometrist" provider in Edgerton, Wisconsin. His current practice location is
1110 N Main St, Edgerton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 884-3314.
Dr Michael James Long is licensed to practice in Wisconsin (license number 1749) 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 1093729584.
Healthcare Provider's Profile
Full Name | Dr Michael James Long |
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Gender | Male |
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Speciality | Optometrist |
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Location | 1110 N Main St, Edgerton, Wisconsin |
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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: 1093729584
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8325154271
- Enrollment ID: I20101019001564
Medical Identifiers
Medical identifiers for Dr Michael James Long such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093729584 | NPI | - | NPPES |
38514300 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1749 (Wisconsin) | Primary |
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 Michael James 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 Michael James Long, OD 1110 N Main St, Edgerton, WI 53534 Ph: (608) 884-3314 | Dr Michael James Long, OD 1110 N Main St, Edgerton, WI 53534 Ph: (608) 884-3314 |
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