Theresa Marie Long, MD - Medicare Ophthalmology in Salt Lake City, UT

Theresa Marie Long, MD is a medicare enrolled "Ophthalmology" physician in Salt Lake City, Utah. She went to University Of Missouri, Columbia School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice University Of Utah Adult Services and her current practice location is John A Moran Eye Ctr, 65 Mario Capecchi Drive, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 213-4044.

Theresa Marie Long is licensed to practice in Utah (license number 10979080-1205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902338429.

Contact Information

Theresa Marie Long, MD
John A Moran Eye Ctr, 65 Mario Capecchi Drive,
Salt Lake City, UT 84132-0001
(801) 213-4044
Not Available



Physician's Profile

Full NameTheresa Marie Long
GenderFemale
SpecialityOphthalmology
Experience7 Years
LocationJohn A Moran Eye Ctr, Salt Lake City, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theresa Marie Long attended and graduated from University Of Missouri, Columbia School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1902338429
  • Provider Enumeration Date: 04/03/2017
  • Last Update Date: 11/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4082968193
  • Enrollment ID: I20210309001105

Medical Identifiers

Medical identifiers for Theresa Marie Long such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902338429NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 10979080-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Utah Hospitals And ClinicsSalt lake city, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Utah Adult Services09415252731459

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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. Theresa Marie Long allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Utah Adult Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683

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Entity NameUniversity Of Utah Pediatric Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487018974
PECOS PAC ID: 0547552473
Enrollment ID: O20160713000371

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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. Theresa Marie 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
Theresa Marie Long, MD
John A Moran Eye Ctr, 65 Mario Capecchi Drive,
Salt Lake City, UT 84132-0001

Ph: (801) 213-4044
Theresa Marie Long, MD
John A Moran Eye Ctr, 65 Mario Capecchi Drive,
Salt Lake City, UT 84132-0001

Ph: (801) 213-4044

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Ophthalmology Doctors in Salt Lake City, UT

Douglas P Marx, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 4400 S 700 E Ste 130, Salt Lake City, UT 84107
Phone: 801-264-4420    Fax: 801-266-0604
Dr. Eileen Hwang, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 65 S Mario Capecchi Dr, Salt Lake City, UT 84132
Phone: 801-581-2352    
Paul S. Bernstein, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 65 N Medical Dr, Salt Lake City, UT 84132
Phone: 801-581-2352    
Dr. Francis John Wapner, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1250 E 3900 S, #310, Salt Lake City, UT 84124
Phone: 801-263-2020    Fax: 801-263-2229
Dr. James G Howard, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 5169 Cottonwood St Ste 630, Salt Lake City, UT 84107
Phone: 801-312-2020    Fax: 801-312-2022
Marielle Payne Young, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 65 Mario Capecchi Dr, Salt Lake City, UT 84132
Phone: 801-581-2352    
Dr. Rachel S Benator, M.D.
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 1025 E 3300 S, Ste B, Salt Lake City, UT 84106
Phone: 801-281-2020    Fax: 801-487-3689

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