Glenn Klucka, is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in Williamsport, Pennsylvania. He went to Philadelphia College Of Osteopathic Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Osteopathic Manipulative Medicine. He is a member of the group practice Susquehanna Physician Services and his current practice location is
740 High St, Suite 4001, Williamsport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 321-2345.
Glenn Klucka is licensed to practice in Pennsylvania (license number OS018778) 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 1093058406.
Physician's Profile
Full Name | Glenn Klucka |
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Gender | Male |
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Speciality | Osteopathic Manipulative Medicine |
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Experience | 11 Years |
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Location | 740 High St, Williamsport, Pennsylvania |
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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. |
Medical Education and Training:
- Glenn Klucka attended and graduated from Philadelphia College Of Osteopathic Medicine in 2013
NPI Data:
- NPI Number: 1093058406
- Provider Enumeration Date: 04/03/2013
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688978786
- Enrollment ID: I20170911000129
Medical Identifiers
Medical identifiers for Glenn Klucka such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093058406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | OS018778 (Pennsylvania) | Secondary |
204D00000X | Neuromusculoskeletal Medicine & Omm | OS018778 (Pennsylvania) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Susquehanna Physician Services | 2264336460 | 492 |
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 Klucka allows following entities to bill medicare on his behalf.
Entity Name | Susquehanna Physician Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205870904 PECOS PAC ID: 2264336460 Enrollment ID: O20040225000410 |
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Entity Name | Pinnacle Health Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180 |
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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 Klucka 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 Klucka, 1201 Grampian Blvd, Suite 4001, Williamsport, PA 17701-1900 Ph: () - | Glenn Klucka, 740 High St, Suite 4001, Williamsport, PA 17701-3102 Ph: (570) 321-2345 |
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