Dr Robert Clifton Glenn, MD | |
308 W State St Ste 3d, Redlands, CA 92373-4653 | |
(909) 566-9669 | |
(909) 353-4985 |
Full Name | Dr Robert Clifton Glenn |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 308 W State St Ste 3d, Redlands, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902033210 | NPI | - | NPPES |
317375 | Medicaid | SC | |
332429 | Other | LA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 332429 (Louisiana) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 31737 (South Carolina) | Primary |
Entity Name | Forefront-brandt Medical Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407461080 PECOS PAC ID: 4385057991 Enrollment ID: O20201228001816 |
Entity Name | Che Behavioral Health Services Of South Carolina Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568048833 PECOS PAC ID: 1759780380 Enrollment ID: O20210601001981 |
Entity Name | Appalachian Regional Healthcare Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558431346 PECOS PAC ID: 0840107835 Enrollment ID: O20220202000961 |
Entity Name | Brightside Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230608002286 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Clifton Glenn, MD 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042 Ph: (803) 536-1571 | Dr Robert Clifton Glenn, MD 308 W State St Ste 3d, Redlands, CA 92373-4653 Ph: (909) 566-9669 |
Pei S Liu, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1839 W Redlands Blvd, Redlands, CA 92373 Phone: 951-785-7190 Fax: 951-688-7246 | |
Dr. Cheryl Lea Green, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Behavioral Medicine Center, Loma Linda University, 1710 Barton Rd, Redlands, CA 92373 Phone: 909-558-9219 | |
Surya T Edpuganti, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1809 W Redlands Blvd, Redlands, CA 92373 Phone: 909-335-3026 Fax: 303-335-3167 | |
Lauren Laddaran, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1686 Barton Rd Rm 1306, Redlands, CA 92373 Phone: 909-558-9567 | |
Darcy Trenkle, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1686 Barton Rd, Box E, Redlands, CA 92373 Phone: 909-558-9551 | |
Neelima Kunam, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1809 W Redlands Blvd Ste 103, Redlands, CA 92373 Phone: 909-335-3026 | |
Dr. Anthony Dai Duk, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1809 W Redlands Blvd, Redlands, CA 92373 Phone: 909-335-3026 Fax: 909-335-3167 |