TIMOTHY R LONG D.O. NPI 1003045071

Internal Medicine in Maywood, IL

NPI 1003045071 Individual Male Years of Experience 13 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About TIMOTHY LONG

Timothy Long is an internal medicine provider established in Maywood, Illinois and his medical specialization is internal medicine with more than 13 years of experience. He graduated from Michigan State University College Of Osteopathic Medicine in 2009. The NPI number of Timothy Long is 1003045071 and was assigned on July 2009. The practitioner's primary taxonomy code is 207R00000X with license number 125056897 (IL). The provider is registered as an individual and his NPI record was last updated 12 years ago.

An internist like Timothy R Long D.o. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Timothy Long is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Timothy Long is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Northshore University Healthsystem - Evanston Hospital.

NPI

1003045071

Provider Name TIMOTHY R LONG D.O.
Provider Location Address2160 S 1ST AVE MAYWOOD, IL 60153
Provider Mailing Address1526 W MONROE ST APT 202 CHICAGO, IL 60607
GenderMale
NPI Entity TypeIndividual
Medical School NameMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year2009
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-10-2009
Last Update Date07-10-2009


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.125056897
License StateIL
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

TIMOTHY R LONG D.O.
2160 S 1ST AVE
MAYWOOD, IL
ZIP 60153
Phone: (708) 216-9000

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Mailing Address

TIMOTHY R LONG D.O.
1526 W MONROE ST APT 202
CHICAGO, IL
ZIP 60607
Phone: (734) 564-2042



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID4688830193
PECOS Enrollment IDI20120727000754
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Timothy Long is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL2650 RIDGE AVE
EVANSTON, IL 60201
(847) 432-8000Acute Care Hospitals140010

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174525489DR. MICHAEL JM RAFFIN PH.D.
Individual
Audiologist2160 S 1ST AVE
MAYWOOD, IL 60153
(708) 216-3821
1992700033MS. SONYA RESCHLY M.S.
Individual
Audiologist2160 S 1ST AVE
MAYWOOD, IL 60153
(708) 216-3821
1417954868 YING SUN M.S.
Individual
Specialist2160 S 1ST AVE
MAYWOOD, IL 60153
(708) 216-3821
1720085103MRS. KATHLEEN E. SCHORE M.S., CCC-A
Individual
Specialist2160 S 1ST AVE LUMC/AUDIOLOGY
MAYWOOD, IL 60153
(708) 206-3821
1437151974 KEVIN J EMBACH M.D.
Individual
Internal Medicine2160 S 1ST AVE LOYOLA UNIV. HOSPITAL, ROOM 7604
MAYWOOD, IL 60153
(708) 216-8757
1114904471 JORGE PARADA MD, MPH
Individual
Internal Medicine (Infectious Disease)2160 S 1ST AVE (LUH-NORTH ENT., RM. 7604)
MAYWOOD, IL 60153
(708) 216-3232
1386621647 J PAUL OKEEFE MD
Individual
Internal Medicine (Infectious Disease)2160 S 1ST AVE (1950 S. HARLEM AVE., NORTH RIVERSIDE, IL. 60546)
MAYWOOD, IL 60153
(708) 354-9250
1184601452 STUART BRIAN JOHNSON MD
Individual
Internal Medicine (Infectious Disease)2160 S 1ST AVE 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
(708) 216-3232
1013994086 SHELLY LO MD
Individual
Internal Medicine (Hematology & Oncology)2160 S 1ST AVE LUH - NORTH ENT., RM. 7604
MAYWOOD, IL 60153
(708) 216-3304
1346227295 KAMIL MUZAFFAR MD
Individual
Otolaryngology2160 S 1ST AVE (9608 ROBERTS RD., HICKORY HILLS, IL. 60457)
MAYWOOD, IL 60153
(708) 233-5333
1952388803 CHINYERE ANEZIOKORO MD
Individual
Internal Medicine (Infectious Disease)2160 S 1ST AVE 101-1740, LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
(708) 216-9000
1861479719 ROBERT HENKIN MD
Individual
Radiology (Nuclear Radiology)2160 S 1ST AVE 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
(708) 216-9000
1306823208 DAVID HECHT MD
Individual
Internal Medicine (Infectious Disease)2160 S 1ST AVE LUH - NORTH ENT. , RM.7604
MAYWOOD, IL 60153
(708) 216-3232
1699752568 SAM MARZO MD
Individual
Otolaryngology (Otology & Neurotology)2160 S 1ST AVE MAGUIRE CENTER 1870
MAYWOOD, IL 60153
(708) 216-9183
1215914189 CARYL SALOMON MD
Individual
Radiology (Diagnostic Radiology)2160 S 1ST AVE 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
(708) 216-9000
1124005004 VIKRAM C PRABHU MD
Individual
Neurological Surgery2160 S 1ST AVE (MAGUIRE CENTER, RM. 1900)
MAYWOOD, IL 60153
(708) 216-8563
1033196910 CHRISTINE DUDIAK MD
Individual
Radiology (Diagnostic Radiology)2160 S 1ST AVE MCGAW ENT., RM. 47
MAYWOOD, IL 60153
(708) 216-5221
1649257510 WILLIAM GREENLEE MD
Individual
Radiology (Neuroradiology)2160 S 1ST AVE MCGAW ENT., RM. 47
MAYWOOD, IL 60153
(708) 216-5221
1619954583 KENNETH CRAIG MICETICH MD
Individual
Internal Medicine (Hematology & Oncology)2160 S 1ST AVE (15750 MARION DR., HOMER GLEN, IL. 60491)
MAYWOOD, IL 60153
(708) 645-3400
1528045499 LAWRENCE CAMRAS MD
Individual
Radiology (Neuroradiology)2160 S 1ST AVE (MCGAW ENT., RM. 47)
MAYWOOD, IL 60153
(708) 216-5221

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.