Kathryn Marie Glynn, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Oshkosh, Wisconsin. Her current practice location is
700 N Westhaven Dr, Oshkosh, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 303-8700.
Kathryn Marie Glynn is licensed to practice in Wisconsin (license number 1625) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235143793.
Physician's Profile
| Full Name | Kathryn Marie Glynn |
|---|
| Gender | Female |
|---|
| Speciality | Pain Medicine - Interventional Pain Medicine |
|---|
| Location | 700 N Westhaven Dr, Oshkosh, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235143793
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 10/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 1557360377
- Enrollment ID: I20061205000360
Medical Identifiers
Medical identifiers for Kathryn Marie Glynn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235143793 | NPI | - | NPPES |
| 100373483 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 60823734 (Washington) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 18509 (Nevada) | Secondary |
| 207L00000X | Anesthesiology | 036119191 (Illinois) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 1625 (Wisconsin) | 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. Kathryn Marie Glynn allows following entities to bill medicare on her behalf.
| Entity Name | Dynamic Pain & Wellness Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1285007989 PECOS PAC ID: 8527364058 Enrollment ID: O20160310000011 |
|---|
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. Kathryn Marie Glynn 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 |
Kathryn Marie Glynn, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Kathryn Marie Glynn, MD 700 N Westhaven Dr, Oshkosh, WI 54904-6947 Ph: (920) 303-8700 |
Reviews and Comments