Dr Glen C Knowles, DO is a medicare enrolled "Family Medicine" physician in Bradford, Arkansas. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 1993 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice White County Medical Center and his current practice location is
203 West Main Street, Bradford, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 344-2788.
Dr Glen C Knowles is licensed to practice in Arkansas (license number E0193) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1679579536.
Physician's Profile
| Full Name | Dr Glen C Knowles |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 32 Years |
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| Location | 203 West Main Street, Bradford, Arkansas |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Glen C Knowles attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 1993
NPI Data:
- NPI Number: 1679579536
- Provider Enumeration Date: 06/24/2005
- Last Update Date: 03/15/2010
Medicare PECOS Information:
- PECOS PAC ID: 6103726856
- Enrollment ID: I20040109001029
Medical Identifiers
Medical identifiers for Dr Glen C Knowles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679579536 | NPI | - | NPPES |
| 125773003 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | E0193 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| White County Medical Center | 4880688654 | 161 |
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 Glen C Knowles allows following entities to bill medicare on his behalf.
| Entity Name | White River Health System, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427149814 PECOS PAC ID: 0143134270 Enrollment ID: O20050406001290 |
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| Entity Name | Northeast Arkansas Clinic Charitable Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861721839 PECOS PAC ID: 2961547526 Enrollment ID: O20100315000190 |
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| Entity Name | White County Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053662890 PECOS PAC ID: 4880688654 Enrollment ID: O20130510000018 |
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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 Glen C Knowles 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 Glen C Knowles, DO Po Box 70, Bradford, AR 72020-0070 Ph: (501) 344-2788 | Dr Glen C Knowles, DO 203 West Main Street, Bradford, AR 72020 Ph: (501) 344-2788 |
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