Jacqlyn E Long, OD in Alton, IL

Jacqlyn E Long, OD is a medicare enrolled "Optometrist" provider in Alton, Illinois. Her current practice location is 211 E Broadway, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 462-9818.

Jacqlyn E Long is licensed to practice in Illinois (license number 046-008207) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992866057.

Contact Information

	Jacqlyn E Long, OD
	211 E Broadway, Alton, IL 62002-6220
	(618) 462-9818
	(314) 741-4947

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqlyn E Long
Gender	Female
Speciality
Experience	Years
Location	211 E Broadway, Alton, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqlyn E Long attended and graduated from in

NPI Data:

NPI Number: 1992866057
Provider Enumeration Date: 12/13/2006
Last Update Date: 02/20/2015

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Jacqlyn E Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992866057	NPI	-	NPPES
0854830001	Other		DMERC
318096041	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	T02865 (Missouri)	Secondary
152W00000X	Optometrist	046-008207 (Illinois)	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. Jacqlyn E 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
Jacqlyn E Long, OD 8885 Ladue Rd, Saint Louis, MO 63124-2088 Ph: (314) 721-2720	Jacqlyn E Long, OD 211 E Broadway, Alton, IL 62002-6220 Ph: (618) 462-9818

Reviews and Comments

Optometrist in Alton, IL

Aeg Delaware Professional Pa Optometrist Medicare: Medicare Enrolled Practice Location: 111 E 4th St Ste 440, Alton, IL 62002 Phone: 618-462-9818
Aeg Connecticut Professional Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 111 E 4th St Ste 440, Alton, IL 62002 Phone: 618-462-9818 Fax: 314-741-4947
Dr. James Walter Lieber, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 401 Henry St, Alton, IL 62002 Phone: 618-465-6000
Mark D. Wade O D P C Optometrist Medicare: Not Enrolled in Medicare Practice Location: 111 E 4th St Ste 440, Alton, IL 62002 Phone: 618-462-9818 Fax: 314-741-4947
Optometrist Medicare: Medicare Enrolled Practice Location: 111 E 4th St Ste 440, Alton, IL 62002 Phone: 618-462-9818 Fax: 314-741-4947
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1819 Homer Adams Parkway, Suite B, Alton, IL 62002 Phone: 636-200-4393 Fax: 636-938-2650
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2865 Homer M Adams Pkwy, Alton, IL 62002 Phone: 618-465-1654 Fax: 618-465-8652

Jacqlyn E Long, OD - Medicare Optometrist in Alton, IL