Jack Long, DPT in Waltham, MA - Medicare Physical Therapy Provider

Jack Long, DPT is a medicare enrolled "Physical Therapist" provider in Waltham, Massachusetts. He went to Boston University School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Joint Ventures Physical Therapy, Inc. and his current practice location is 425 Waverley Oaks Rd, Waltham, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 373-3620.

Jack Long is licensed to practice in Massachusetts (license number 23177) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861918534.

Contact Information

	Jack Long, DPT
	425 Waverley Oaks Rd, Waltham, MA 02452-8448
	(781) 373-3620
	(781) 373-3953

Map and Direction

Healthcare Provider's Profile

Full Name	Jack Long
Gender	Male
Speciality	Physical Therapy
Experience	7 Years
Location	425 Waverley Oaks Rd, Waltham, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jack Long attended and graduated from Boston University School Of Medicine in 2017

NPI Data:

NPI Number: 1861918534
Provider Enumeration Date: 08/15/2017
Last Update Date: 01/25/2022

Medicare PECOS Information:

PECOS PAC ID: 8224302666
Enrollment ID: I20170922001890

Medical Identifiers

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

Identifier	Type	State	Issuer
1861918534	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	23177 (Massachusetts)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Joint Ventures Physical Therapy, Inc.	2163474560	56

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. Jack Long allows following entities to bill medicare on his behalf.

Provider Name	Joint Ventures Physical Therapy, Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1083667901 PECOS PAC ID: 2163474560 Enrollment ID: O20050214000813

Provider Name	Bay State Physical Therapy Of Randolph Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164474334 PECOS PAC ID: 6305744251 Enrollment ID: O20191112001187

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. Jack 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
Jack Long, DPT 10 Liberty Sq, Bsmt 1, Boston, MA 02109-5814 Ph: (617) 536-1161	Jack Long, DPT 425 Waverley Oaks Rd, Waltham, MA 02452-8448 Ph: (781) 373-3620

Reviews and Comments

Physical Therapist in Waltham, MA

Amy M Benoit, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 First Avenue, Waltham, MA 02451 Phone: 781-895-7900 Fax: 781-290-0720
Linsey Roth, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 303 Wyman St Ste 300, Waltham, MA 02451 Phone: 877-407-3422 Fax: 877-407-4329
Ms. Doris C Prince, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 Waverly Oaks Rd, Waltham, MA 02452 Phone: 781-894-6564
Igor Khuzeykin, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 425 Waverly Oaks Rd, Waltham, MA 02452 Phone: 781-373-3620
Edward Lacerte, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 840 Winter St, Waltham, MA 02451 Phone: 781-487-9944 Fax: 781-487-9966
William Harrington, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 840 Winter St, Attn: Pro Sports Therapy, Waltham, MA 02451 Phone: 781-487-9944 Fax: 781-487-9966
Nicole M. Semon, PT, DPT, PCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Hope Ave, Department Of Physical And Occupational Therapy, Waltham, MA 02453 Phone: 781-216-3670

Jack Long, DPT - Medicare Physical Therapist in Waltham, MA