Dr Jackie Long, MD in Minot, ND - Medicare Psychiatry

Dr Jackie Long, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Minot, North Dakota. He graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Trinity Health, St Alexius Medical Center and his current practice location is 407 3rd St Se, Minot, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 857-2360.

Dr Jackie Long is licensed to practice in North Dakota (license number 16459) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790039071.

Contact Information

	Dr Jackie Long, MD
	407 3rd St Se, Minot, ND 58701-4470
	(701) 857-2360
	(701) 857-2187

Map and Direction

Physician's Profile

Full Name	Dr Jackie Long
Gender	Male
Speciality	Psychiatry
Experience	17 Years
Location	407 3rd St Se, Minot, North Dakota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jackie Long graduated from medical school in 2008

NPI Data:

NPI Number: 1790039071
Provider Enumeration Date: 11/07/2012
Last Update Date: 04/30/2025

Medicare PECOS Information:

PECOS PAC ID: 3375826621
Enrollment ID: I20200421001054

Medical Identifiers

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

Identifier	Type	State	Issuer
1790039071	NPI	-	NPPES
ME126295	Other	FL	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	16459 (North Dakota)	Primary
2084P0800X	Psychiatry & Neurology - Psychiatry	ME126295 (Florida)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Trinity Hospitals	Minot, ND	Hospital
Chi St Alexius Health	Bismarck, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Trinity Health	7911816020	283
St Alexius Medical Center	8426960865	225

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 Jackie Long allows following entities to bill medicare on his behalf.

Entity Name	Trinity Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083653752 PECOS PAC ID: 7911816020 Enrollment ID: O20031106000316

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 Jackie 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 Jackie Long, MD Po Box 5010, Minot, ND 58702-5010 Ph: (701) 418-8000	Dr Jackie Long, MD 407 3rd St Se, Minot, ND 58701-4470 Ph: (701) 857-2360

Reviews and Comments

Psychiatry & Neurology Doctors in Minot, ND

Michael G Rayel, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 407 3rd St Se, Minot, ND 58701 Phone: 701-857-2360
Shakeel Ahmad Tabish, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2305 37th Ave Sw, Minot, ND 58701 Phone: 701-857-5000
Adam Jangula, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1015 S Broadway Ste 18, Minot, ND 58701 Phone: 701-328-5492
Todor Tode Dragicevic, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1900 8th Ave Se, Minot, ND 58701 Phone: 701-857-5998 Fax: 701-857-5022
Asha Patel, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1015 S Broadway Ste 18, Minot, ND 58701 Phone: 701-857-8500 Fax: 701-857-8637
Deidre Lynn Richards, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1900 8th Ave Se, Minot, ND 58701 Phone: 701-857-5998 Fax: 701-857-5022
Kon Hweii Lee, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 20 Burdick Expy W, Minot, ND 58701 Phone: 701-857-5421 Fax: 701-857-5427

Dr Jackie Long, MD - Medicare Psychiatry in Minot, ND