Glen P Imlay, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Proctorville, Ohio. He went to University Of Missouri, Columbia School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Holzer Clinic Llc and his current practice location is
98 State St, Proctorville, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 886-9403.
Glen P Imlay is licensed to practice in Ohio (license number 35-08-0873) 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 1053364828.
Physician's Profile
| Full Name | Glen P Imlay |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 26 Years |
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| Location | 98 State St, Proctorville, Ohio |
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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. |
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Medical Education and Training:
- Glen P Imlay attended and graduated from University Of Missouri, Columbia School Of Medicine in 1998
NPI Data:
- NPI Number: 1053364828
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 01/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 1759342736
- Enrollment ID: I20070730000570
Medical Identifiers
Medical identifiers for Glen P Imlay such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053364828 | NPI | - | NPPES |
| 2333906 | Other | OH | MOLINA MEDICAID |
| 000000185246 | Other | OH | UNISON MEDICAID |
| 000000227912 | Other | | ANTHEM BCBS |
| 2003261000 | Medicaid | WV | |
| 310917085124 | Other | OH | CARESOURCE MEDICAID |
| 2333906 | Medicaid | OH | |
| 001714143 | Other | | MOUNTAIN STATE BCBS |
| 250013535 | Other | | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 20826 (West Virginia) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 35-08-0873 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Holzer Clinic Llc | 5890606008 | 268 |
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. Glen P Imlay allows following entities to bill medicare on his behalf.
| Entity Name | Holzer Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508817248
PECOS PAC ID: 5890606008
Enrollment ID: O20031215000746 |
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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. Glen P Imlay 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 |
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Glen P Imlay, MD
90 Jackson Pike,
Gallipolis, OH 45631-1560
Ph: (740) 886-9403 | Glen P Imlay, MD
98 State St,
Proctorville, OH 45669-8163
Ph: (740) 886-9403 |
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