| Dr Alicia Wilson Glenn, DNP, AGPCNP-BC | |
|
1575 John Knox Dr, Colfax, NC 27235-9662 | |
| (336) 668-4900 | |
| Not Available |
| Full Name | Dr Alicia Wilson Glenn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1575 John Knox Dr, Colfax, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114559283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5013383 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Step Up Care Of North Carolina Pc | 4486036878 | 18 |
| Vitae Health Medical North Carolina Pllc | 7719317932 | 43 |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Entity Name | Vitae Health Medical North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265064414 PECOS PAC ID: 7719317932 Enrollment ID: O20200430000531 |
| Entity Name | Step Up Care Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841929395 PECOS PAC ID: 4486036878 Enrollment ID: O20220802000558 |
| Entity Name | Caremed Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811750045 PECOS PAC ID: 6305378704 Enrollment ID: O20241010000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alicia Wilson Glenn, DNP, AGPCNP-BC 1575 John Knox Dr, Colfax, NC 27235-9662 Ph: (336) 668-4900 | Dr Alicia Wilson Glenn, DNP, AGPCNP-BC 1575 John Knox Dr, Colfax, NC 27235-9662 Ph: (336) 668-4900 |
Amber Dawn Clapp, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1575 John Knox Dr, Colfax, NC 27235 Phone: 336-389-4060 | |
Sarah Rivera Lopez, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5568 Marblehead Dr, Colfax, NC 27235 Phone: 336-448-8237 | |
Maddie Henrish, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1212 Carriage House Dr, Colfax, NC 27235 Phone: 724-678-1090 | |
Sarah Lynn Mevissen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1575 John Knox Dr, Colfax, NC 27235 Phone: 336-325-0130 |