Dr Glenn P Kimball Jr, MD is a medicare enrolled "Ophthalmology" physician in Haverhill, Massachusetts. His current practice location is
680 Main St, Haverhill, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(978) 374-4258.
Dr Glenn P Kimball Jr is licensed to practice in Massachusetts (license number 57624) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265428924.
Physician's Profile
| Full Name | Dr Glenn P Kimball Jr |
|---|
| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 680 Main St, Haverhill, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265428924
- Provider Enumeration Date: 09/27/2005
- Last Update Date: 12/17/2007
Medicare PECOS Information:
- PECOS PAC ID: 8426951765
- Enrollment ID: I20050425000739
Medical Identifiers
Medical identifiers for Dr Glenn P Kimball Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265428924 | NPI | - | NPPES |
| 3035913 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207W00000X | Ophthalmology | 57624 (Massachusetts) | Primary |
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 P Kimball Jr 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 P Kimball Jr, MD 680 Main St, Haverhill, MA 01830-2644 Ph: (978) 374-4258 | Dr Glenn P Kimball Jr, MD 680 Main St, Haverhill, MA 01830-2644 Ph: (978) 374-4258 |
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