Brom Glidden, MA in Sandpoint, ID - Medicare Counselor Provider

Brom Glidden, MA is a medicare enrolled "Counselor - Mental Health" provider in Sandpoint, Idaho. His current practice location is 534 N Center Valley Rd, Sandpoint, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 597-0994.

Brom Glidden is licensed to practice in Idaho (license number LCP-4881) 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 1154694792.

Contact Information

	Brom Glidden, MA
	534 N Center Valley Rd, Sandpoint, ID 83864-7148
	(208) 597-0994
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brom Glidden
Gender	Male
Speciality	Counselor - Mental Health
Location	534 N Center Valley Rd, Sandpoint, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154694792
Provider Enumeration Date: 02/13/2012
Last Update Date: 02/13/2012

Medicare PECOS Information:

PECOS PAC ID: 0941652283
Enrollment ID: I20240123000475

Medical Identifiers

Medical identifiers for Brom Glidden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154694792	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LCP-4881 (Idaho)	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. Brom Glidden allows following entities to bill medicare on his behalf.

Entity Name	Glidden Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467002923 PECOS PAC ID: 9032561378 Enrollment ID: O20240123000408

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. Brom Glidden 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
Brom Glidden, MA 534 N Center Valley Rd, Sandpoint, ID 83864-7148 Ph: (208) 597-0994	Brom Glidden, MA 534 N Center Valley Rd, Sandpoint, ID 83864-7148 Ph: (208) 597-0994

Reviews and Comments

Counselor in Sandpoint, ID

Erin Kathleen Gray, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Pine St Ste 2, Sandpoint, ID 83864 Phone: 208-263-7716 Fax: 208-263-7719
Jason Munzke, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 513 N 4th Ave, Sandpoint, ID 83864 Phone: 208-255-6803 Fax: 208-263-0951
Mary Mikell Zimmerman, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Airport Way, Bonner Business Center, Sandpoint, ID 83864 Phone: 208-597-3553
Mrs. Catherine Perusse, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 Ontario St, Sandpoint, ID 83864 Phone: 208-265-6798 Fax: 208-263-8160
Mrs. Julie Ann Brusaw, MA LCPC LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1035 Baldy Mountain Rd, Sandpoint, ID 83864 Phone: 208-255-9277 Fax: 208-255-1254
Mrs. Bambi Lassen, LMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 102 S Euclid Ave Ste 111, Sandpoint, ID 83864 Phone: 208-263-4477 Fax: 208-263-4478
Michelle Woodward, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 Ontario St, Sandpoint, ID 83864 Phone: 208-265-6798

Brom Glidden, MA - Medicare Counselor in Sandpoint, ID