Jacqlyn E Long, OD in Alton, IL - Medicare Optometry Provider

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

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqlyn E Long
Gender	Female
Speciality	Optometry
Experience	35 Years
Location	211 E Broadway, Alton, Illinois
Accepts Medicare Assignments	Yes. 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.

Identifier	Type	State	Issuer
1992866057	NPI	-	NPPES
0854830001	Other		DMERC
318096041	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	T02865 (Missouri)	Secondary
152W00000X	Optometrist	046-008207 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nucrown, Llc	1456256346	21
Nucrown, Llc	1456256346	21

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 Name	Nucrown, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1295737294 PECOS PAC ID: 1456256346 Enrollment ID: O20041025000051

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 Address	Practice 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

Reviews and Comments

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

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