Angela Dawn Glick, LCP - Medicare Psychologist in Logan, WV

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Angela Dawn Glick, LCP is a medicare enrolled "Psychologist - Clinical" provider in Logan, West Virginia. Her current practice location is 306 Main St, Logan, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 752-7707.

Angela Dawn Glick is licensed to practice in West Virginia (license number 776) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144377540.

Contact Information

Angela Dawn Glick, LCP
306 Main St,
Logan, WV 25601-3906
(304) 752-7707
(304) 752-0772

Map and Direction




Healthcare Provider's Profile

Full NameAngela Dawn Glick
GenderFemale
SpecialityPsychologist - Clinical
Location306 Main St, Logan, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144377540
  • Provider Enumeration Date: 01/05/2007
  • Last Update Date: 04/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7214216472
  • Enrollment ID: I20161114000281

Medical Identifiers

Medical identifiers for Angela Dawn Glick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144377540NPI-NPPES
9202037000MedicaidWV
001715137OtherWVBLUECROSS SHIELD PROVIDER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 776 (West Virginia)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. Angela Dawn Glick allows following entities to bill medicare on her behalf.
Entity NameBoone Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285686725
PECOS PAC ID: 3375433352
Enrollment ID: O20051111000050
Entity NameBoone Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871141366
PECOS PAC ID: 3375433352
Enrollment ID: O20201102001732

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. Angela Dawn Glick 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 AddressPractice Location Address
Angela Dawn Glick, LCP
701 Madison Ave,
Madison, WV 25130-1699

Ph: (304) 369-1230		Angela Dawn Glick, LCP
306 Main St,
Logan, WV 25601-3906

Ph: (304) 752-7707

Reviews and Comments


Psychologist in Logan, WV

Mrs. Krystal Gail Stollings, MA ED.S
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 506 Holly Ave, Logan, WV 25601
Phone: 304-792-2088    Fax: 304-752-7471
Mrs. Michelle Robertson Akers, M.A.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 306 Main St, Logan, WV 25601
Phone: 304-752-7707    Fax: 304-752-0772
Jenna Marie Rycek, ED.S.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 5499 Old Logan Rd, Logan, WV 25601
Phone: 308-627-4711    
Staci Johnson, ED.S., NCSP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 66 School St, Monaville, Logan, WV 25601
Phone: 304-792-2089    
Nicole Smith,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: Rt. 10 Three Mile Curve, Logan, WV 25601
Phone: 304-792-7130    Fax: 304-792-7146
Mrs. Cassandra Richardson, MA EDS
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 66 School St, Logan, WV 25601
Phone: 304-792-2082    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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