George Russell Glenn, MD PHD in Dallas, TX - Medicare Diagnostic Radiology

George Russell Glenn, MD PHD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Dallas, Texas. He went to Medical University Of South Carolina College Of Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Chartered, Central Illinois Radiological Associates Ltd and his current practice location is 2825 Oak Lawn Ave Unit 192749, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (510) 683-9500.

George Russell Glenn is licensed to practice in Florida (license number ME176998) 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 1396239125.

Contact Information

	George Russell Glenn, MD PHD
	2825 Oak Lawn Ave Unit 192749, Dallas, TX 75219-4688
	(510) 683-9500
	Not Available

Map and Direction

Physician's Profile

Full Name	George Russell Glenn
Gender	Male
Speciality	Diagnostic Radiology
Experience	8 Years
Location	2825 Oak Lawn Ave Unit 192749, Dallas, Texas
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:

George Russell Glenn attended and graduated from Medical University Of South Carolina College Of Medicine in 2018

NPI Data:

NPI Number: 1396239125
Provider Enumeration Date: 06/15/2018
Last Update Date: 01/05/2026

Medicare PECOS Information:

PECOS PAC ID: 9234483066
Enrollment ID: I20240117003192

Medical Identifiers

Medical identifiers for George Russell Glenn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396239125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	4301515727 (Michigan)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	ME176998 (Florida)	Primary
2085R0202X	Radiology - Diagnostic Radiology	95127 (Georgia)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	036165017 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Medical Center	Peoria, IL	Hospital
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr	Ottawa, IL	Hospital
Bellin Health Oconto Hospital	Oconto, WI	Hospital
St Joseph Medical Center	Bloomington, IL	Hospital
Bellin Memorial Hospital	Green bay, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Radiology Chartered	1557394988	17
Central Illinois Radiological Associates Ltd	9436061827	162

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. George Russell Glenn allows following entities to bill medicare on his behalf.

Entity Name	Central Illinois Radiological Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20171103002605

Entity Name	Radiology Chartered
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760416895 PECOS PAC ID: 1557394988 Enrollment ID: O20240220003695

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. George Russell Glenn 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
George Russell Glenn, MD PHD 2825 Oak Lawn Ave Unit 192749, Dallas, TX 75219-4688 Ph: (510) 683-9500	George Russell Glenn, MD PHD 2825 Oak Lawn Ave Unit 192749, Dallas, TX 75219-4688 Ph: (510) 683-9500

Reviews and Comments

Radiology Doctors in Dallas, TX

Dr. Nhat-long Lam Pham, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5801 Forest Park Rd, Dallas, TX 75390 Phone: 241-645-7615 Fax: 214-645-7624
Firouzeh Arjmandi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd., Dallas, TX 75390 Phone: 214-645-3586
Dr. John Debevits Iv, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3928
Natalia Cabrera Almonte, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd # E6112, Dallas, TX 75390 Phone: 214-648-2054
W Crysup Sory, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 12700 Park Central Dr, Ste 430, Dallas, TX 75251 Phone: 972-239-8902 Fax: 972-661-2551
Jacqueline Tyra Caire, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 469-757-1000
Dr. Thomas Louis Borok, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5004 Spyglass Drive, Dallas, TX 75287 Phone: 972-931-1073 Fax: 972-931-1073

George Russell Glenn, MD PHD - Medicare Diagnostic Radiology in Dallas, TX