Anthony Longo, is a medicare enrolled "Dentist" provider in Wurtsboro, New York. His current practice location is
72 Lake Shore Dr, Wurtsboro, New York. You can reach out to his office (for appointments etc.) via phone at
(917) 380-4448.
Anthony Longo is licensed to practice in New York (license number 060908) 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 1689155608.
Healthcare Provider's Profile
Full Name | Anthony Longo |
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Gender | Male |
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Speciality | Dentist |
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Location | 72 Lake Shore Dr, Wurtsboro, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689155608
- Provider Enumeration Date: 08/27/2018
- Last Update Date: 01/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 0143633826
- Enrollment ID: I20210120000384
Medical Identifiers
Medical identifiers for Anthony Longo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689155608 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 060908 (New York) | Primary |
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. Anthony Longo 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 |
Anthony Longo, 72 Lake Shore Dr, Wurtsboro, NY 12790-2153 Ph: () - | Anthony Longo, 72 Lake Shore Dr, Wurtsboro, NY 12790-2153 Ph: (917) 380-4448 |
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