Mary Ann Long, M.D.

Primary specialty

Multi-Specialty GroupTaxonomy code 193200000X

License

21188 Issued in WV

Practice address

1 Medical Center Drive
Morgantown, WV 26506

Phone

(304) 598-6900

Fax

(304) 598-6914

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

West Virginia University School of Medicine, 2001

Medicare assignment

May accept Medicare assignment

Group practices

United Summit Center IncGroup PAC ID 6002803988, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001

Merit-based Incentive Payment System (MIPS)

Final score

97.01 of 100Reported as group

Quality

94.2

Promoting interoperability

100

Improvement activities

20

Cost

92.28

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mlong129463@direct.wvuhsdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• United Summit Center Inc

  • Mental Health Counselor
  • Clarksburg, WV
  • NPI 1750332524

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• West Virginia University Hospitals, Inc

  • General Acute Care Hospital
  • Morgantown, WV
  • NPI 1841271459
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1679685150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 FAIRMONT RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265013847",
            "telephone_number": "304-598-2233",
            "fax_number": "304-296-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DRIVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26506",
            "telephone_number": "304-598-6900",
            "fax_number": "304-598-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "21188",
            "primary": false
        },
        {
            "code": "193200000X",
            "taxonomy_group": "",
            "desc": "Multi-Specialty",
            "state": "WV",
            "license": "21188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000059",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Gregory Long II, PH.D.
• Heidi K Long, DPT
• Lisa Long
• Margaret Long, MS,LAT, ATC, PES
• Maria Ann Long, M.D.
• Rebecca Long
• Tori Long
• Devin Longo, APRN-CNP
• Michael R Looper, OD
• Matthew Stephen Loos, MD

• Multi-Specialty Group in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Multi-Specialty Group in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.