Dr Glenn George Thomason, DDS is a medicare enrolled "Dentist" provider in Tierra Amarilla, New Mexico. His current practice location is 
U.s. Hwy 84 N, Cr 324, #14, Tierra Amarilla, New Mexico. You can reach out to his office (for appointments etc.) via phone at 
(505) 588-7289.
Dr Glenn George Thomason is licensed to practice in New Mexico (license number DD-2075) 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 1093798985.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Dr Glenn George Thomason | 
|---|
| Gender | Male | 
|---|
| Speciality | Dentist | 
|---|
| Location | U.s. Hwy 84 N, Cr 324, #14, Tierra Amarilla, New Mexico | 
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1093798985
- Provider Enumeration Date: 11/23/2005
- Last Update Date: 07/08/2007
  Medicare PECOS Information:
- PECOS PAC ID: 7113221060
- Enrollment ID: I20160212001282
 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Glenn George Thomason such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1093798985 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 122300000X | Dentist | DD-2075 (New Mexico) | Primary | 
		
		
			
			
			
		
		
		 
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 Glenn George Thomason 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 | 
|---|
		| Dr Glenn George Thomason, DDS Po Box 616,
 Chama, NM 87520-0616
 Ph: (505) 756-2345
 | Dr Glenn George Thomason, DDS U.s. Hwy 84 N, Cr 324, #14,
 Tierra Amarilla, NM 87576
 Ph: (505) 588-7289
 | 
		
		 
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