Dr Glen Ray Patton, DO - Medicare Family Practice in Derby, KS

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Dr Glen Ray Patton, DO is a medicare enrolled "Family Medicine" physician in Derby, Kansas. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Tanglewood Family Medical Center Pa and his current practice location is 606 Mulberry Rd, Derby, Kansas. You can reach out to his office (for appointments etc.) via phone at (316) 788-3787.

Dr Glen Ray Patton is licensed to practice in Kansas (license number 05-19924) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922073337.

Contact Information

Dr Glen Ray Patton, DO
606 Mulberry Rd,
Derby, KS 67037-3532
(316) 788-3787
(316) 788-6930

Map and Direction




Physician's Profile

Full NameDr Glen Ray Patton
GenderMale
SpecialityFamily Practice
Experience44 Years
Location606 Mulberry Rd, Derby, Kansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Glen Ray Patton attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 1980
  NPI Data:
  • NPI Number: 1922073337
  • Provider Enumeration Date: 02/20/2006
  • Last Update Date: 07/19/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9537104179
  • Enrollment ID: I20050623000398

Medical Identifiers

Medical identifiers for Dr Glen Ray Patton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922073337NPI-NPPES
P00099501OtherKSRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 05-19924 (Kansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Interim Healthcare Of WichitaWichita, KSHome health agency
Heartland Hh Care & HospiceWichita, KSHome health agency
Rock Regional Hospital, LlcDerby, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tanglewood Family Medical Center Pa71139113898

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 Ray Patton allows following entities to bill medicare on his behalf.
Entity NameTanglewood Family Medical Center Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659472306
PECOS PAC ID: 7113911389
Enrollment ID: O20040412000514

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 Ray Patton 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 AddressPractice Location Address
Dr Glen Ray Patton, DO
606 Mulberry Rd,
Derby, KS 67037-3532

Ph: (316) 788-3787		Dr Glen Ray Patton, DO
606 Mulberry Rd,
Derby, KS 67037-3532

Ph: (316) 788-3787

Reviews and Comments


Family Medicine Doctors in Derby, KS

Emily O'dell, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1640 E Tall Tree Rd, Derby, KS 67037
Phone: 316-789-8222    
Constantine Paul Panakos, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 606 N Mulberry Rd, Tanglewood Medical Center, Pa, Derby, KS 67037
Phone: 316-788-3787    Fax: 316-788-2618
Dr. Catherine E. Vitosh, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 606 Mulberry Rd, Derby, KS 67037
Phone: 316-788-3787    Fax: 316-788-2618
C Gordon Harrod, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1720 Osage Rd, Derby, KS 67037
Phone: 316-789-8222    Fax: 316-789-8449
David Wayne Niederee, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1101 N Rock Rd, Derby, KS 67037
Phone: 316-788-6963    Fax: 316-788-5373
Dr. Luke Gregory Lawrence Records, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1410 N Woodlawn Blvd, Derby, KS 67037
Phone: 316-788-3741    Fax: 316-788-5198
Sara E Purdy, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1640 E Tall Tree, Derby, KS 67037
Phone: 316-789-8222    

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.