Katherine Kay Long, - Medicare Family Medicine in Portage, IN

Katherine Kay Long, is a medicare enrolled "Family Medicine" physician in Portage, Indiana. Her current practice location is 6050 Sterling Creek Rd, Portage, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 763-8112.

Katherine Kay Long is licensed to practice in Indiana (license number 71011703A) 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 1710640008.

Contact Information

Katherine Kay Long,
6050 Sterling Creek Rd,
Portage, IN 46368-7752
(219) 763-8112
Not Available



Physician's Profile

Full NameKatherine Kay Long
GenderFemale
SpecialityFamily Medicine
Location6050 Sterling Creek Rd, Portage, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710640008
  • Provider Enumeration Date: 10/14/2021
  • Last Update Date: 10/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7911396791
  • Enrollment ID: I20221214001513

Medical Identifiers

Medical identifiers for Katherine Kay Long such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710640008NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 71011703A (Indiana)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. Katherine Kay Long allows following entities to bill medicare on her behalf.
Entity NameRandall Dermatology, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245340488
PECOS PAC ID: 3678675329
Enrollment ID: O20070227000078

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› Verified 9 days ago

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. Katherine Kay 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
Katherine Kay Long,
6050 Sterling Creek Rd,
Portage, IN 46368-7752

Ph: () -
Katherine Kay Long,
6050 Sterling Creek Rd,
Portage, IN 46368-7752

Ph: (219) 763-8112

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Family Medicine Doctors in Portage, IN

Dr. Adrienne Baksinski, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3283 Willowcreek Rd, Portage, IN 46368
Phone: 219-764-8439    Fax: 249-764-8463
Gretchen M Haney, MSN, APRN, FNP-BC
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368
Phone: 219-763-8112    
Dr. Frank X Weilnhammer, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368
Phone: 219-763-8112    Fax: 219-764-5380
Kenneth A Black, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3630 Willowcreek Rd, Portage, IN 46368
Phone: 219-759-1157    
Dr. Inderjit K Kapoor, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6375 Us Highway 6, Portage, IN 46368
Phone: 219-762-3196    Fax: 219-763-6438
Dr. Shane David Bush, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3630 Willowcreek Rd, Portage, IN 46368
Phone: 219-364-3700    
Julijana Obetkovska,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368
Phone: 219-763-8112    

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