Glenn A Butt, MD is a medicare enrolled "Internal Medicine" physician in Picayune, Mississippi. His current practice location is
2416 Hwy 435, Picayune, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(769) 242-2525.
Glenn A Butt is licensed to practice in Louisiana (license number 13870R) 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 1902992894.
Physician's Profile
| Full Name | Glenn A Butt |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 2416 Hwy 435, Picayune, Mississippi |
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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: 1902992894
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 08/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082608294
- Enrollment ID: I20040413000394
Medical Identifiers
Medical identifiers for Glenn A Butt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902992894 | NPI | - | NPPES |
| 00125336 | Medicaid | MS | |
| 1439959 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 17113 (Mississippi) | Secondary |
| 207R00000X | Internal Medicine | 13870R (Louisiana) | Primary |
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. Glenn A Butt allows following entities to bill medicare on his behalf.
| Entity Name | Ochsner Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
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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. Glenn A Butt 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 |
Glenn A Butt, MD 2416 Hwy 435, Picayune, MS 39466 Ph: (769) 242-2525 | Glenn A Butt, MD 2416 Hwy 435, Picayune, MS 39466 Ph: (769) 242-2525 |
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