Jacob Long, DPT in Virginia Beach, VA - Medicare Physical Therapist Provider

Jacob Long, DPT is a medicare enrolled "Physical Therapist" provider in Virginia Beach, Virginia. His current practice location is 5301 Providence Rd Ste 80&90, Virginia Beach, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 467-4604.

Jacob Long is licensed to practice in Virginia (license number ) 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 1134856826.

Contact Information

	Jacob Long, DPT
	5301 Providence Rd Ste 80&90, Virginia Beach, VA 23464-4128
	(757) 467-4604
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Long
Gender	Male
Speciality	Physical Therapist
Location	5301 Providence Rd Ste 80&90, Virginia Beach, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134856826
Provider Enumeration Date: 08/03/2022
Last Update Date: 08/03/2022

Medicare PECOS Information:

PECOS PAC ID: 7214390822
Enrollment ID: I20230830001553

Medical Identifiers

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

Identifier	Type	State	Issuer
1134856826	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(Virginia)	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. Jacob Long allows following entities to bill medicare on his behalf.

Provider Name	Fox Rehabilitation Services Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1609814755 PECOS PAC ID: 1355347410 Enrollment ID: O20090811000339

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. Jacob 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
Jacob Long, DPT Po Box 412307, Boston, MA 02241-2307 Ph: (888) 830-4125	Jacob Long, DPT 5301 Providence Rd Ste 80&90, Virginia Beach, VA 23464-4128 Ph: (757) 467-4604

Reviews and Comments

Physical Therapist in Virginia Beach, VA

Celso Chavez, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 Lake Havasu Dr, Virginia Beach, VA 23454 Phone: 609-381-9803
Janice Anne Barrera, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5301 Providence Rd, Suite 80, Virginia Beach, VA 23464 Phone: 757-467-1900 Fax: 757-467-7900
Lindsey Pauley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4668 Pembroke Blvd Ste 115, Virginia Beach, VA 23455 Phone: 577-648-8562 Fax: 757-648-8564
Mrs. Keyuri S Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 Phone: 757-995-2700 Fax: 757-995-2701
Haygood Physical Therapy, Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1024 Independence Blvd, Virginia Beach, VA 23455 Phone: 757-460-1809
Ms. Judith M Anderson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 818 Newtown Rd, Virginia Beach, VA 23462 Phone: 757-473-8016 Fax: 757-473-3580
Wendy Bryant, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 South Blvd, 310, Virginia Beach, VA 23452 Phone: 757-490-3223

Jacob Long, DPT - Medicare Physical Therapist in Virginia Beach, VA