Glenn Davis, MD is a medicare enrolled "Ophthalmology" physician in Pulaski, Virginia. His current practice location is
1510 Bob White Blvd, Pulaski, Virginia. You can reach out to his office (for appointments etc.) via phone at
(540) 980-1965.
Glenn Davis is licensed to practice in Virginia (license number 0101036189) 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 1083724512.
Physician's Profile
| Full Name | Glenn Davis |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 1510 Bob White Blvd, Pulaski, Virginia |
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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: 1083724512
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 10/11/2013
Medicare PECOS Information:
- PECOS PAC ID: 3678555869
- Enrollment ID: I20040602000752
Medical Identifiers
Medical identifiers for Glenn Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083724512 | NPI | - | NPPES |
| 010104238 | Medicaid | VA | |
| 010126991 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207W00000X | Ophthalmology | 0101036189 (Virginia) | 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. Glenn Davis 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 Davis, MD 1510 Bob White Blvd, Pulaski, VA 24301-4406 Ph: (540) 980-1965 | Glenn Davis, MD 1510 Bob White Blvd, Pulaski, VA 24301-4406 Ph: (540) 980-1965 |
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