| Dr Rebecca A Long, OD | |
|
6097 Us Highway 6, Portage, IN 46368-5215 | |
| (219) 763-1538 | |
| Not Available |
| Full Name | Dr Rebecca A Long |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 37 Years |
| Location | 6097 Us Highway 6, Portage, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124168836 | NPI | - | NPPES |
| 201034350 | Medicaid | IN | |
| 11887606 | Other | IN | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18002310A (Indiana) | Primary |
| 152W00000X | Optometrist | 18002310B (Indiana) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Myeyedr Optometry Of Indiana Llc | 5496091316 | 70 |
| Provider Name | Myeyedr Optometry Of Indiana Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083100424 PECOS PAC ID: 5496091316 Enrollment ID: O20190115001215 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rebecca A Long, OD 3303 Clairborne Xing, Valparaiso, IN 46385-2969 Ph: (219) 246-7807 | Dr Rebecca A Long, OD 6097 Us Highway 6, Portage, IN 46368-5215 Ph: (219) 763-1538 |
Audrey Simone Dawson, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-5380 | |
Ira Gail Altaras, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 6097 Us Highway 6, Portage, IN 46368 Phone: 703-847-8899 | |
Veronica Camarillo Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 6050 Us Highway 6, Portage, IN 46368 Phone: 219-762-7862 | |
Dr. Kim P Cory, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6509 Central Ave, Portage, IN 46368 Phone: 219-762-4801 Fax: 219-764-9974 | |
Mr. Ronald William Szabo, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3151 Willowcreek Rd, Portage, IN 46368 Phone: 219-762-2111 Fax: 219-763-7899 | |
Dr. Simona Maria Toader, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 |