Dr Benjamin Daniel Long, MD in Springfield, IL

Dr Benjamin Daniel Long, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Springfield, Illinois. His current practice location is 800 E Carpenter St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 544-6464.

Dr Benjamin Daniel Long is licensed to practice in Illinois (license number 125.071892) 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 1043702392.

Contact Information

	Dr Benjamin Daniel Long, MD
	800 E Carpenter St, Springfield, IL 62769-4699
	(217) 544-6464
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Benjamin Daniel Long
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	800 E Carpenter St, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043702392
Provider Enumeration Date: 06/02/2018
Last Update Date: 08/14/2024

Medicare PECOS Information:

PECOS PAC ID: 8022366939
Enrollment ID: I20240611003132

Medical Identifiers

Medical identifiers for Dr Benjamin Daniel Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043702392	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	313938 (North Carolina)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	125.071892 (Illinois)	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. Dr Benjamin Daniel Long allows following entities to bill medicare on his behalf.

Entity Name	Central Illinois Radiological Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20031104000332

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. Dr Benjamin Daniel 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
Dr Benjamin Daniel Long, MD 111 Oakwood Rd, East Peoria, IL 61611-1853 Ph: (309) 740-4272	Dr Benjamin Daniel Long, MD 800 E Carpenter St, Springfield, IL 62769-4699 Ph: (217) 544-6464

Reviews and Comments

Radiology Doctors in Springfield, IL

Dr. Christopher John Norbet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096
Sandra Scroggins, MD Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-814-5178 Fax: 217-757-6458
Dr. Terence Edward Wade, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464
Benjamin Walker Fischer-valuck, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St., Springfield, IL 62781 Phone: 217-528-7541
Kevin Coakley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096
Ronald Hidalgo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr, Ste A, Springfield, IL 62704 Phone: 720-848-0000 Fax: 720-848-0000

Dr Benjamin Daniel Long, MD - Medicare Radiology in Springfield, IL