Glenn L Robertson, MD - Medicare Family Practice in North Logan, UT

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Glenn L Robertson, MD is a medicare enrolled "Family Medicine" physician in North Logan, Utah. He went to Eastern Virginia Medical School and graduated in 1996 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice San Juan County Hospital, Ogden Clinic Pc and his current practice location is 2380 N 400 E Ste A, North Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 554-3240.

Glenn L Robertson is licensed to practice in Utah (license number 372285-1205) 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 1144281122.

Contact Information

Glenn L Robertson, MD
2380 N 400 E Ste A,
North Logan, UT 84341-1756
(435) 554-3240
(435) 554-3241

Map and Direction




Physician's Profile

Full NameGlenn L Robertson
GenderMale
SpecialityFamily Practice
Experience29 Years
Location2380 N 400 E Ste A, North Logan, Utah
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:
  • Glenn L Robertson attended and graduated from Eastern Virginia Medical School in 1996
  NPI Data:
  • NPI Number: 1144281122
  • Provider Enumeration Date: 03/30/2006
  • Last Update Date: 01/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3870517618
  • Enrollment ID: I20060119000899

Medical Identifiers

Medical identifiers for Glenn L Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144281122NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine M-14903 (Idaho)Secondary
207Q00000XFamily Medicine 12808A (Wyoming)Secondary
207Q00000XFamily Medicine 0101246275 (Virginia)Secondary
207Q00000XFamily Medicine 372285-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cache Valley HospitalNorth logan, UTHospital
San Juan HospitalMonticello, UTHospital
Moab Regional HospitalMoab, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
San Juan County Hospital448654185115
Ogden Clinic Pc9638078033101

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. Glenn L Robertson allows following entities to bill medicare on his behalf.
Entity NameOgden Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578550083
PECOS PAC ID: 9638078033
Enrollment ID: O20040105000780
Entity NameBear Lake Community Health Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689754475
PECOS PAC ID: 9032020037
Enrollment ID: O20040110000158
Entity NameMoab Valley Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770513236
PECOS PAC ID: 2466361720
Enrollment ID: O20040114000346
Entity NameSan Juan County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659315877
PECOS PAC ID: 4486541851
Enrollment ID: O20040301000938
Entity NameAffinity Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144928854
PECOS PAC ID: 2062886815
Enrollment ID: O20230320000395

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. Glenn L Robertson 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
Glenn L Robertson, MD
Po Box 5546,
Denver, CO 80217-5546

Ph: (801) 475-3500		Glenn L Robertson, MD
2380 N 400 E Ste A,
North Logan, UT 84341-1756

Ph: (435) 554-3240

Reviews and Comments


Family Medicine Doctors in North Logan, UT

Christopher Lee Ryan, D.O.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 2380 N 400 E Ste A, North Logan, UT 84341
Phone: 435-713-1300    Fax: 435-787-7601
Dr. Jeremy C Starr, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1515 N 400 E Ste 104, North Logan, UT 84341
Phone: 435-755-6061    

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.