Mr John L Glenn, MD is a medicare enrolled "General Practice" physician in Gloversville, New York. His current practice location is
84 E. State St, St. Mary's Hospital, Gloversville Fam Hlth Cntr, Gloversville, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 773-8894.
Mr John L Glenn is licensed to practice in New York (license number 1575271) 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 1821056433.
Physician's Profile
| Full Name | Mr John L Glenn |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 84 E. State St, Gloversville, New York |
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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: 1821056433
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 09/02/2010
Medicare PECOS Information:
- PECOS PAC ID: 8820154362
- Enrollment ID: I20090306000495
Medical Identifiers
Medical identifiers for Mr John L Glenn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1821056433 | NPI | - | NPPES |
| 00890859 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 1575271 (New York) | 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. Mr John L Glenn allows following entities to bill medicare on his behalf.
| Entity Name | St. Mary's Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518926401 PECOS PAC ID: 7618960709 Enrollment ID: O20040405001628 |
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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. Mr John L Glenn 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 |
Mr John L Glenn, MD 427 Guy Park Ave - Primary & Specialty Care Dept., St. Mary's Hospital At Amsterdam, Amsterdam, NY 12010 Ph: (518) 841-7430 | Mr John L Glenn, MD 84 E. State St, St. Mary's Hospital, Gloversville Fam Hlth Cntr, Gloversville, NY 12078 Ph: (518) 773-8894 |
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