Therese Long, in Portland, OR - Medicare Marriage & Family Therapist Provider

Therese Long, is a medicare enrolled "Marriage & Family Therapist" provider in Portland, Oregon. Her current practice location is 4300 Ne Fremont St Ste 260, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 544-9996.

Therese Long is licensed to practice in Oregon (license number T1370) 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 1003217456.

Contact Information

	Therese Long,
	4300 Ne Fremont St Ste 260, Portland, OR 97213-1100
	(503) 544-9996
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Therese Long
Gender	Female
Speciality	Marriage & Family Therapist
Location	4300 Ne Fremont St Ste 260, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003217456
Provider Enumeration Date: 09/04/2014
Last Update Date: 01/25/2024

Medicare PECOS Information:

PECOS PAC ID: 8628411089
Enrollment ID: I20240213002365

Medical Identifiers

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

Identifier	Type	State	Issuer
1003217456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	T1370 (Oregon)	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. Therese Long allows following entities to bill medicare on her behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20210301001586

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. Therese 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
Therese Long, 14600 Nw Cornell Rd, Portland, OR 97229-5442 Ph: () -	Therese Long, 4300 Ne Fremont St Ste 260, Portland, OR 97213-1100 Ph: (503) 544-9996

Reviews and Comments

Marriage & Family Therapist in Portland, OR

Karissa Lynn Catalano, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2415 Se 43rd Ave, Portland, OR 97206 Phone: 503-238-0705
Jennifer D Samsom, MA Couples Therapy Medicare: Medicare Enrolled Practice Location: 2245 Sw Troy St, Portland, OR 97219 Phone: 503-341-6393
Kathia Rabelo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 820 Nw 21st Ave Ste B, Portland, OR 97209 Phone: 626-318-9783
Polly Elizabeth Harrison, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13601 Se Lincoln Ct, Portland, OR 97233 Phone: 503-558-5339
Mrs. Lindsey Erin Gibson, MED Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1110 Se Alder St Ste 301, Portland, OR 97214 Phone: 971-400-5407
Danielle Ellen Lieb-foley, MA, MFT, ATR Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1020 Sw Taylor St, Suite 345, Portland, OR 97205 Phone: 503-704-6101

Therese Long, - Medicare Couples Therapy in Portland, OR