Glendale Doctors Medical Center is a medicare enrolled "Clinic/center - Primary Care" provider in Glendale, California. Their current practice location is
1123 S. Central Ave, Glendale, California. You can reach out to their office (for appointments etc.) via phone at
(818) 242-8805.
Glendale Doctors Medical Center is licensed to practice in California (license number A41065) and it also participates in the medicare program. Glendale Doctors Medical Center
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1801167044.
Healthcare Provider's Profile
| Full Name | Glendale Doctors Medical Center |
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| Type | Facility |
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| Speciality | Clinic/center - Primary Care |
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| Location | 1123 S. Central Ave, Glendale, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801167044
- Provider Enumeration Date: 01/19/2012
- Last Update Date: 06/28/2016
Medicare PECOS Information:
- PECOS PAC ID: 0042472359
- Enrollment ID: O20120503000118
Medical Identifiers
Medical identifiers for Glendale Doctors Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801167044 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 9962 (California) | Secondary |
| 207Q00000X | Family Medicine | A32929 (California) | Secondary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | A41065 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Glendale Doctors Medical Center acts as a billing entity for following providers:
| Provider Name | Louis B Flores |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1760606123
PECOS PAC ID: 9638163371
Enrollment ID: I20060504000981 |
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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. Glendale Doctors Medical Center 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 |
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Glendale Doctors Medical Center
1123 S. Central Ave,
Glendale, CA 91204-2212
Ph: (818) 242-8805 | Glendale Doctors Medical Center
1123 S. Central Ave,
Glendale, CA 91204-2212
Ph: (818) 242-8805 |
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