Dr Chontay Glenn, PHD, RN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Grosse Pointe Woods, Michigan. She went to Wayne State University School Of Medicine and graduated in 2011 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
2089 Anita Ave, Grosse Pointe Woods, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 459-6707.
Dr Chontay Glenn is licensed to practice in Michigan (license number 4704208682) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164631727.
Healthcare Provider's Profile
| Full Name | Dr Chontay Glenn |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 2089 Anita Ave, Grosse Pointe Woods, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Chontay Glenn attended and graduated from Wayne State University School Of Medicine in 2011
NPI Data:
- NPI Number: 1164631727
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 09/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 8325135635
- Enrollment ID: I20130923000329
Medical Identifiers
Medical identifiers for Dr Chontay Glenn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164631727 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704208682 (Michigan) | Primary |
| 163WC1500X | Registered Nurse - Community Health | 4704208682 (Michigan) | Secondary |
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. Dr Chontay Glenn allows following entities to bill medicare on her behalf.
| Entity Name | The Healing Palace Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407020993
PECOS PAC ID: 6709206790
Enrollment ID: O20201013001249 |
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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. Dr Chontay Glenn 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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Dr Chontay Glenn, PHD, RN, PMHNP-BC
2089 Anita Ave,
Grosse Pointe Woods, MI 48236-1427
Ph: (313) 459-6707 | Dr Chontay Glenn, PHD, RN, PMHNP-BC
2089 Anita Ave,
Grosse Pointe Woods, MI 48236-1427
Ph: (313) 459-6707 |
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