Teresa Longo, MD in Maitland, FL

Teresa Longo, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Maitland, Florida. Her current practice location is 2600 Westhall Ln Ste 4, Maitland, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 200-2355.

Teresa Longo is licensed to practice in Florida (license number ME173706) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922569987.

Contact Information

	Teresa Longo, MD
	2600 Westhall Ln Ste 4, Maitland, FL 32751-7102
	(407) 200-2355
	(407) 200-4947

Map and Direction

Physician's Profile

Full Name	Teresa Longo
Gender	Female
Speciality	Radiology - Diagnostic Radiology
Location	2600 Westhall Ln Ste 4, Maitland, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922569987
Provider Enumeration Date: 03/30/2019
Last Update Date: 07/28/2025

Medicare PECOS Information:

PECOS PAC ID: 5991125320
Enrollment ID: I20240814004863

Medical Identifiers

Medical identifiers for Teresa Longo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922569987	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	D0100533 (Maryland)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	ME173706 (Florida)	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. Teresa Longo allows following entities to bill medicare on her behalf.

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719

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. Teresa 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
Teresa Longo, MD 2600 Westhall Ln Ste 4, Maitland, FL 32751-7102 Ph: (407) 200-2355	Teresa Longo, MD 2600 Westhall Ln Ste 4, Maitland, FL 32751-7102 Ph: (407) 200-2355

Reviews and Comments

Radiology Doctors in Maitland, FL

Crystal Tao Perkins, MD Radiology Medicare: Medicare Enrolled Practice Location: 2600 Westhall Ln Ste 4, Maitland, FL 32751 Phone: 407-200-2355 Fax: 407-200-4947
Michele Nicole Edison, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Westhall Ln Fl 4, Maitland, FL 32751 Phone: 407-200-2355 Fax: 407-200-4947
Dr. Shanchita Ghosh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Westhall Ln Fl 4, Maitland, FL 32751 Phone: 407-303-8178
Dr. Connor William Woodward, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2600 Westhall Ln Ste 4, Maitland, FL 32751 Phone: 407-200-2355 Fax: 407-200-4947
Dr. Bhaskar N/a Golla, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 2600 Westhall Ln Ste 4, Maitland, FL 32751 Phone: 407-200-2355 Fax: 407-200-4947
Wells Yang, MD Radiology Medicare: Medicare Enrolled Practice Location: 2600 Westhall Ln Ste 4, Maitland, FL 32751 Phone: 407-200-2355
Elena Griffin, MD Radiology Medicare: Medicare Enrolled Practice Location: 2600 Westhall Ln Ste 4, Maitland, FL 32751 Phone: 407-200-2355 Fax: 407-200-4947

Teresa Longo, MD - Medicare Radiology in Maitland, FL