| Dr Carol Glenn Trent Jr, MD | |
| 
					581 Leroy George Dr, Suite 380, Clyde, NC 28721-8084  | |
| (828) 452-8378 | |
| (828) 452-8326 | 
| Full Name | Dr Carol Glenn Trent Jr | 
|---|---|
| Gender | Male | 
| Speciality | Orthopaedic Surgery | 
| Location | 581 Leroy George Dr, Clyde, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1831169523 | NPI | - | NPPES | 
| 38020 | Other | TN | LICENSE | 
| 2015-02023 | Other | NC | NC LICENSE | 
| 1831169523 | Medicaid | VA | |
| 3889600 | Medicaid | TN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 38020 (Tennessee) | Secondary | 
| 207X00000X | Orthopaedic Surgery | 2015-02023 (North Carolina) | Primary | 
| Entity Name | Dlp Western Carolina Physician Practices Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609281641 PECOS PAC ID: 9032338975 Enrollment ID: O20140908002531  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Carol Glenn Trent Jr, MD 581 Leroy George Dr, Suite 380, Clyde, NC 28721-8084 Ph: (828) 452-8378  | Dr Carol Glenn Trent Jr, MD 581 Leroy George Dr, Suite 380, Clyde, NC 28721-8084 Ph: (828) 452-8378  | 
Dr. James Thornton Chandler, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 581 Leroy George Dr Ste 300, Clyde, NC 28721 Phone: 828-452-4131 Fax: 828-452-4095  | |
Samantha Ariel Levin,  Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 581 Leroy George Dr Ste 300, Clyde, NC 28721 Phone: 828-452-4131  | |
Gerald W King, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 581 Leroy George Dr, Suite 300, Clyde, NC 28721 Phone: 828-452-4131 Fax: 828-452-4095  | |
Dr. Brian E Haycook, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 581 Leroy George Dr Ste 380, Clyde, NC 28721 Phone: 828-452-4131 Fax: 828-452-4095  | |
Arnold Justin Silverberg, M.D. (AS OF 5/8/15) Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 581 Leroy George Dr Ste 300, Clyde, NC 28721 Phone: 828-452-4131 Fax: 828-452-4095  |