Dr Tristan Michael 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 Tristan Michael Long is licensed to practice in Wisconsin (license number 3305-35) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1780021667.
Healthcare Provider's Profile
| Full Name | Dr Tristan Michael Long |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1110 N Main St, Edgerton, Wisconsin |
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| Accepts Medicare Assignments | May be. He 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 Tristan Michael Long attended and graduated from in
NPI Data:
- NPI Number: 1780021667
- Provider Enumeration Date: 05/31/2013
- Last Update Date: 05/31/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Tristan Michael Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780021667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 3305-35 (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 Tristan Michael 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 Tristan Michael Long, OD
8808 W Stebbinsville Rd,
Edgerton, WI 53534-8877
Ph: (608) 295-3011 | Dr Tristan Michael Long, OD
1110 N Main St,
Edgerton, WI 53534-1328
Ph: (608) 884-3314 |
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