Jacqlyn E Long, OD - Medicare Optometrist in Alton, IL

Jacqlyn E Long, OD is a medicare enrolled "Optometrist" provider in Alton, Illinois. She went to University Of Missouri St Louis - School Of Optometry and graduated in 1989 and has 35 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Nucrown, Llc, Nucrown, Llc and her current practice location is 211 E Broadway, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 462-9818.

Jacqlyn E Long is licensed to practice in Illinois (license number 046-008207) 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 1992866057.

Contact Information

Jacqlyn E Long, OD
211 E Broadway,
Alton, IL 62002-6220
(618) 462-9818
(314) 741-4947



Healthcare Provider's Profile

Full NameJacqlyn E Long
GenderFemale
SpecialityOptometry
Experience35 Years
Location211 E Broadway, Alton, Illinois
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:
  • Jacqlyn E Long attended and graduated from University Of Missouri St Louis - School Of Optometry in 1989
  NPI Data:
  • NPI Number: 1992866057
  • Provider Enumeration Date: 12/13/2006
  • Last Update Date: 02/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2365546421
  • Enrollment ID: I20070329000081

Medical Identifiers

Medical identifiers for Jacqlyn E Long such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992866057NPI-NPPES
0854830001OtherDMERC
318096041MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist T02865 (Missouri)Secondary
152W00000XOptometrist 046-008207 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nucrown, Llc145625634621
Nucrown, Llc145625634621

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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. Jacqlyn E Long allows following entities to bill medicare on her behalf.
Provider NameNucrown, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1295737294
PECOS PAC ID: 1456256346
Enrollment ID: O20041025000051

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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. Jacqlyn E 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
Jacqlyn E Long, OD
8885 Ladue Rd,
Saint Louis, MO 63124-2088

Ph: (314) 721-2720
Jacqlyn E Long, OD
211 E Broadway,
Alton, IL 62002-6220

Ph: (618) 462-9818

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Optometrist in Alton, IL

Aeg Delaware Professional Pa
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 111 E 4th St Ste 440, Alton, IL 62002
Phone: 618-462-9818    
Aeg Connecticut Professional Pllc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 111 E 4th St Ste 440, Alton, IL 62002
Phone: 618-462-9818    Fax: 314-741-4947
Dr. James Walter Lieber, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 401 Henry St, Alton, IL 62002
Phone: 618-465-6000    
Mark D. Wade O D P C
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 111 E 4th St Ste 440, Alton, IL 62002
Phone: 618-462-9818    Fax: 314-741-4947
Crown Vision Center
Optometrist
Medicare: Medicare Enrolled
Practice Location: 111 E 4th St Ste 440, Alton, IL 62002
Phone: 618-462-9818    Fax: 314-741-4947
Clarkson Eyecare
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1819 Homer Adams Parkway, Suite B, Alton, IL 62002
Phone: 636-200-4393    Fax: 636-938-2650
Pearle Vision Of Alton, P.c.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2865 Homer M Adams Pkwy, Alton, IL 62002
Phone: 618-465-1654    Fax: 618-465-8652

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