Glenn S Hausdorfer, MD in San Dimas, CA

Glenn S Hausdorfer, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in San Dimas, California. He went to University Of Southern California Keck School Of Medicine and graduated in 1981 and has 45 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Citrus Pathology Medical Group and his current practice location is 1350 W Covina Blvd, San Dimas, California. You can reach out to his office (for appointments etc.) via phone at (909) 599-6811.

Glenn S Hausdorfer is licensed to practice in California (license number G49307) 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 1588658249.

Contact Information

	Glenn S Hausdorfer, MD
	1350 W Covina Blvd, San Dimas, CA 91773-3245
	(909) 599-6811
	Not Available

Map and Direction

Physician's Profile

Full Name	Glenn S Hausdorfer
Gender	Male
Speciality	Pathology
Experience	45 Years
Location	1350 W Covina Blvd, San Dimas, California
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 S Hausdorfer attended and graduated from University Of Southern California Keck School Of Medicine in 1981

NPI Data:

NPI Number: 1588658249
Provider Enumeration Date: 09/08/2005
Last Update Date: 03/13/2014

Medicare PECOS Information:

PECOS PAC ID: 9032152145
Enrollment ID: I20050608001035

Medical Identifiers

Medical identifiers for Glenn S Hausdorfer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588658249	NPI	-	NPPES
00G493070	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	G49307 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Emanate Health Inter-community Hospital	Covina, CA	Hospital
Glendale Mem Hospital & Hlth Center	Glendale, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Citrus Pathology Medical Group	2668375577	4

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 S Hausdorfer allows following entities to bill medicare on his behalf.

Entity Name	Citrus Pathology Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265426928 PECOS PAC ID: 2668375577 Enrollment ID: O20040128001204

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 S Hausdorfer 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 S Hausdorfer, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325	Glenn S Hausdorfer, MD 1350 W Covina Blvd, San Dimas, CA 91773-3245 Ph: (909) 599-6811

Reviews and Comments

Pathology Doctors in San Dimas, CA

Kumari S Wickramasinghe, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1350 W Covina Blvd, San Dimas, CA 91773 Phone: 909-599-6811
Robert E Riechmann, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1350 W Covina Blvd, San Dimas, CA 91773 Phone: 909-599-6811
Roy H Moffatt, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1350 W Covina Blvd, San Dimas, CA 91773 Phone: 909-599-6811

Glenn S Hausdorfer, MD - Medicare Pathology in San Dimas, CA