Dr Timothy P Long, MD - Medicare Family Practice in Marthasville, MO

Dr Timothy P Long, MD is a medicare enrolled "Family Medicine" physician in Marthasville, Missouri. He graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Clinic East Communities and his current practice location is 200 N Highway 47, Marthasville, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 433-5411.

Dr Timothy P Long is licensed to practice in Missouri (license number R9468) 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 1558384214.

Contact Information

Dr Timothy P Long, MD
200 N Highway 47,
Marthasville, MO 63357
(636) 433-5411
(636) 433-2910



Physician's Profile

Full NameDr Timothy P Long
GenderMale
SpecialityFamily Practice
Experience46 Years
Location200 N Highway 47, Marthasville, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Timothy P Long graduated from medical school in 1978
  NPI Data:
  • NPI Number: 1558384214
  • Provider Enumeration Date: 07/25/2006
  • Last Update Date: 01/23/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6204720931
  • Enrollment ID: I20100615000706

Medical Identifiers

Medical identifiers for Dr Timothy P Long such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558384214NPI-NPPES
010121863OtherRAILROAD MEDICARE
200987253MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R9468 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic East Communities7214827922491

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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 Timothy P Long allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851335228
PECOS PAC ID: 7214827922
Enrollment ID: O20070521000006

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Entity NameMercy Clinic East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073739041
PECOS PAC ID: 7214827922
Enrollment ID: O20070521000058

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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 Timothy P 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 AddressPractice Location Address
Dr Timothy P Long, MD
901 Patients First Dr,
Washington, MO 63090-4700

Ph: (636) 239-4100
Dr Timothy P Long, MD
200 N Highway 47,
Marthasville, MO 63357

Ph: (636) 433-5411

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Family Medicine Doctors in Marthasville, MO


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