DR. ALFRED PATRICK LONGO D.D.S.
NPI 1306087150
Dentist - General Practice in Milwaukee, WI

Active since March 07, 2009Opted out of Medicare · through Jun 21, 2028
1801 W WISCONSIN AVE, MUSOD ADVANCED CARE CLINIC, MILWAUKEE, WI 53233(414) 288-7388 Get Directions Write a Review

NPPES record last updated: March 7, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Alfred Patrick Longo D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALFRED PATRICK LONGO D.D.S. (NPI 1306087150) is an individual general practice provider in Milwaukee, Wisconsin, licensed in Wisconsin (6349-015) and active in the NPI registry since March 2009. He has opted out of Medicare through June 21, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306087150
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ALFRED PATRICK LONGOCredential: D.D.S.
Location Address1801 W WISCONSIN AVE, MUSOD ADVANCED CARE CLINICMilwaukee, WI 53233-2186
Mailing AddressPo Box 1881, Musod Advanced Care ClinicMilwaukee, WI 53201-1881 · (414) 288-7388
Sole ProprietorNo
Enumeration DateMarch 7, 2009
NPI 1306087150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 6349-015
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1801 W WISCONSIN AVE, Milwaukee, WI 53233

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Alfred Patrick Longo D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 21, 2016 through June 21, 2028.

Opt-Out Effective DateJune 21, 2016
Opt-Out In Effect ThroughJune 21, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1801 W WISCONSIN AVE, SUITE 145 B
MILWAUKEE, WI 53233
Dentist
1801 W WISCONSIN AVE, MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY. RM 325
MILWAUKEE, WI 53233
Dentist (General Practice)
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233
Student in an Organized Health Care Education/Training Program
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233
Dentist (Prosthodontics)
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233
Student in an Organized Health Care Education/Training Program
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233
Dentist
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233
Dentist (Periodontics)
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alfred Longo's NPI number?

The NPI number for Alfred Longo is 1306087150. It was assigned to this individual provider in the NPPES registry on March 7, 2009.

Where is Alfred Longo located?

Alfred Longo practices at 1801 W Wisconsin Ave Musod Advanced Care Clinic, Milwaukee, WI 53233. The listed phone number is (414) 288-7388.

What is Alfred Longo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Alfred Longo enrolled in Medicare?

No. Alfred Longo has opted out of Medicare through June 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Alfred Longo accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Alfred Longo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alfred Longo was last updated on March 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.