Glenn Rudolph Schwenk Jr, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Carmel, Indiana. His current practice location is
12188 A North Meridian St, Suite 375, Carmel, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 926-1056.
Glenn Rudolph Schwenk Jr is licensed to practice in Indiana (license number 01030262A) 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 1831199835.
Physician's Profile
| Full Name | Glenn Rudolph Schwenk Jr |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 12188 A North Meridian St, Carmel, Indiana |
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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: 1831199835
- Provider Enumeration Date: 08/01/2005
- Last Update Date: 12/23/2009
Medicare PECOS Information:
- PECOS PAC ID: 7214922293
- Enrollment ID: I20040419000790
Medical Identifiers
Medical identifiers for Glenn Rudolph Schwenk Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831199835 | NPI | - | NPPES |
| 100378730 | Medicaid | IN | |
| 000000231409 | Other | IN | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 01030262A (Indiana) | 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 Rudolph Schwenk Jr allows following entities to bill medicare on his behalf.
| Entity Name | Ameripath Indianapolis Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942374517 PECOS PAC ID: 2961475058 Enrollment ID: O20040817000697 |
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| Entity Name | Legacy Path Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205693728 PECOS PAC ID: 5890237960 Enrollment ID: O20240604002377 |
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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 Rudolph Schwenk Jr 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 Rudolph Schwenk Jr, MD 12188 A North Meridian St, Suite 375, Carmel, IN 46032-4578 Ph: (317) 926-1056 | Glenn Rudolph Schwenk Jr, MD 12188 A North Meridian St, Suite 375, Carmel, IN 46032-4578 Ph: (317) 926-1056 |
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