Dr Douglas Moore Long, PHD in Cranston, RI - Medicare Psychologist Provider

Dr Douglas Moore Long, PHD is a medicare enrolled "Psychologist - Clinical" provider in Cranston, Rhode Island. His current practice location is 1170 Pontiac Ave, Cranston, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 500-0424.

Dr Douglas Moore Long is licensed to practice in Rhode Island (license number PS01564) 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 1750731592.

Contact Information

	Dr Douglas Moore Long, PHD
	1170 Pontiac Ave, Cranston, RI 02920-7944
	(401) 500-0424
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Douglas Moore Long
Gender	Male
Speciality	Psychologist - Clinical
Location	1170 Pontiac Ave, Cranston, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750731592
Provider Enumeration Date: 06/13/2016
Last Update Date: 10/04/2023

Medicare PECOS Information:

PECOS PAC ID: 2264729698
Enrollment ID: I20160928000888

Medical Identifiers

Medical identifiers for Dr Douglas Moore Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750731592	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PS01564 (Rhode Island)	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. Dr Douglas Moore Long allows following entities to bill medicare on his behalf.

Entity Name	South County Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003454034 PECOS PAC ID: 4880021658 Enrollment ID: O20200218000767

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 Douglas Moore 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 Douglas Moore Long, PHD 420 Scrabbletown Rd Ste A, North Kingstown, RI 02852-3638 Ph: (401) 268-5333	Dr Douglas Moore Long, PHD 1170 Pontiac Ave, Cranston, RI 02920-7944 Ph: (401) 500-0424

Reviews and Comments

Psychologist in Cranston, RI

Danielle Elizabeth White, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27 Midland Dr, Cranston, RI 02920 Phone: 401-580-0208
Samantha A. Kirk, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 84 Bartlett Ave, Cranston, RI 02905 Phone: 401-243-7044 Fax: 401-842-0360
Amy Sisson, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 935 Park Avenue, Cranston, RI 02910 Phone: 401-781-4380
Dr. Hyun Jin Chung, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 789 Park Ave, Cranston, RI 02910 Phone: 401-421-4561 Fax: 401-243-3001
Dr. Jill M Pfitzenmayer, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1090 New London Ave, Cranston, RI 02920 Phone: 401-463-5778 Fax: 401-463-3592
Dr. Julia Maietta, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1170 Pontiac Ave, Cranston, RI 02920 Phone: 401-500-0424 Fax: 401-296-3998
Mr. Michael Eric Schaffer, MA Psychologist Medicare: Medicare Enrolled Practice Location: 989 Reservoir Ave Ste 104, Cranston, RI 02910 Phone: 401-424-1846

Dr Douglas Moore Long, PHD - Medicare Psychologist in Cranston, RI