Dr 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 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice San Juan County Hospital and his current practice location is
2380 N 400 E Ste B, North Logan, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 276-0888.
Dr 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.
Physician's Profile
Full Name | Dr Glenn L Robertson |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 28 Years |
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Location | 2380 N 400 E Ste B, North Logan, Utah |
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Accepts Medicare Assignments | Yes. 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 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: 11/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870517618
- Enrollment ID: I20060119000899
Medical Identifiers
Medical identifiers for Dr Glenn L Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144281122 | NPI | - | NPPES |
4201995 | Medicaid | UT | |
3006721 | Medicaid | UT | |
D2870 | Medicaid | UT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | M-14903 (Idaho) | Secondary |
207Q00000X | Family Medicine | 372285-1205 (Utah) | Primary |
207Q00000X | Family Medicine | 12808A (Wyoming) | Secondary |
207Q00000X | Family Medicine | 0101246275 (Virginia) | Secondary |
Medical Facilities Affiliation
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 Glenn L Robertson allows following entities to bill medicare on his behalf.
Entity Name | Bear Lake Community Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689754475 PECOS PAC ID: 9032020037 Enrollment ID: O20040110000158 |
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Entity Name | San Juan County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659315877 PECOS PAC ID: 4486541851 Enrollment ID: O20040301000938 |
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Entity Name | Affinity Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144928854 PECOS PAC ID: 2062886815 Enrollment ID: O20230320000395 |
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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 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 Address | Practice Location Address |
Dr Glenn L Robertson, MD 2380 N 400 E Ste B, North Logan, UT 84341-1756 Ph: (435) 276-0888 | Dr Glenn L Robertson, MD 2380 N 400 E Ste B, North Logan, UT 84341-1756 Ph: (435) 276-0888 |
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