Glen P Revere, RD, CDE - Dietitian in Parker, AZ

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Glen P Revere, RD, CDE is a Dietitian, Registered based in Parker, Arizona. Glen P Revere is licensed to practice in * (Not Available) (license number 473669) and his current practice location is 12033 Agency Rd, Parker, Arizona. He can be reached at his office (for appointments etc.) via phone at (928) 669-2137.

NPI number for Glen P Revere is 1477628980 and his current mailing address is 12033 Agency Rd, Parker, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477628980.

Contact Information

Glen P Revere, RD, CDE
12033 Agency Rd,
Parker, AZ 85344-7718
(928) 669-2137
(928) 669-3131

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Healthcare Provider's Profile

Full NameGlen P Revere
GenderMale
SpecialityDietitian, Registered
Location12033 Agency Rd, Parker, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477628980
  • Provider Enumeration Date: 11/21/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Glen P Revere such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477628980NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 473669 (* (Not Available))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. Glen P Revere is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Glen P Revere, RD, CDE
12033 Agency Rd,
Parker, AZ 85344-7718

Ph: (928) 669-2137		Glen P Revere, RD, CDE
12033 Agency Rd,
Parker, AZ 85344-7718

Ph: (928) 669-2137

Reviews and Comments


Dietitian, Registered in Parker, AZ

Diane Marie Selleck, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 12033 Agency Rd, Parker, AZ 85344
Phone: 928-669-3283    
Ann M Farrar, R.D.
Dietitian
Medicare: Medicare Enrolled
Practice Location: 912 S Ocotillo Ave, Parker, AZ 85344
Phone: 928-669-2990    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.