Geoffrey Paul Glidewell, MD in Chapel Hill, NC - Medicare Student in an Organized Health Care Education/Training Program

Geoffrey Paul Glidewell, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Chapel Hill, North Carolina. His current practice location is 170 Manning Drive, Campus Box #7025, Chapel Hill, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 966-8162.

Geoffrey Paul Glidewell is licensed to practice in North Carolina (license number RTL23-0072) 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 1821658394.

Contact Information

	Geoffrey Paul Glidewell, MD
	170 Manning Drive, Campus Box #7025, Chapel Hill, NC 27599-2922
	(919) 966-8162
	(919) 966-2922

Map and Direction

Physician's Profile

Full Name	Geoffrey Paul Glidewell
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	170 Manning Drive, Chapel Hill, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821658394
Provider Enumeration Date: 06/17/2019
Last Update Date: 06/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1850757451
Enrollment ID: I20230526002156

Medical Identifiers

Medical identifiers for Geoffrey Paul Glidewell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821658394	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	18508 (North Dakota)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	RTL23-0072 (North Carolina)	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. Geoffrey Paul Glidewell allows following entities to bill medicare on his behalf.

Entity Name	Sanford Bismarck
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403

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. Geoffrey Paul Glidewell 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
Geoffrey Paul Glidewell, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Geoffrey Paul Glidewell, MD 170 Manning Drive, Campus Box #7025, Chapel Hill, NC 27599-2922 Ph: (919) 966-8162

Geoffrey Paul Glidewell, MD - Medicare Student in an Organized Health Care Education/Training Program in Chapel Hill, NC