Glen Roy Daughtry, DO | |
2850 Commerce Dr Ste 300, Harrisburg, PA 17110-9383 | |
(717) 657-1361 | |
(717) 657-5396 |
Full Name | Glen Roy Daughtry |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 2850 Commerce Dr Ste 300, Harrisburg, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578556551 | NPI | - | NPPES |
0014956000003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS006776E (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pinnacle Health Hospitals | Harrisburg, PA | Hospital |
Holy Spirit Hospital | Camp hill, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Practice Center Pc | 0244124212 | 265 |
Entity Name | Family Practice Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154376937 PECOS PAC ID: 0244124212 Enrollment ID: O20040211000012 |
Mailing Address | Practice Location Address |
---|---|
Glen Roy Daughtry, DO 7 Dock Hill Rd, Middleburg, PA 17842-8910 Ph: (570) 837-2123 | Glen Roy Daughtry, DO 2850 Commerce Dr Ste 300, Harrisburg, PA 17110-9383 Ph: (717) 657-1361 |
David Metzger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-231-8772 Fax: 717-231-8435 | |
Dr. Michael Timothy Partin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 Phone: 717-657-4040 Fax: 717-671-9038 | |
Melissa Denham Gage, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112 Phone: 717-943-1566 | |
Abraham Robert Taylor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 N Nyes Rd Ste A, Harrisburg, PA 17112 Phone: 717-657-4040 Fax: 717-671-9038 | |
Dr. Denise F Montisano, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 Sir Thomas Ct, 2nd Floor, Harrisburg, PA 17109 Phone: 717-657-3030 Fax: 717-671-0991 | |
Dr. Bolanle Asuni Limann, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 S 17th St, Harrisburg, PA 17104 Phone: 717-232-9971 | |
Dr. Christian Humberto Caicedo, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-988-0000 Fax: 717-782-5716 |