| Glen Ware Jr, | |
|
24 Old South Fork Rd, Kings Mountain, KY 40442-9702 | |
| (606) 448-0693 | |
| Not Available |
| Full Name | Glen Ware Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 24 Old South Fork Rd, Kings Mountain, Kentucky |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306314752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3012813 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifeline Health Care Of Pulaski | Somerset, KY | Home health agency |
| Kindred At Home | Danville, KY | Home health agency |
| Ephraim Mcdowell Fort Logan Hospital | Stanford, KY | Hospital |
| Ephraim Mcdowell Regional Medical Center | Danville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ephraim Mcdowell Regional Medical Center Incorporated | 3375506447 | 26 |
| Emhfl Inc | 7416842364 | 12 |
| Ephraim Mcdowell Health Resource Inc | 7517876956 | 135 |
| Entity Name | Ephraim Mcdowell Health Resource Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487708533 PECOS PAC ID: 7517876956 Enrollment ID: O20031218000776 |
| Entity Name | The James B Haggin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558581785 PECOS PAC ID: 8527957448 Enrollment ID: O20040310001400 |
| Entity Name | Ephraim Mcdowell Regional Medical Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316141351 PECOS PAC ID: 3375506447 Enrollment ID: O20041109001051 |
| Entity Name | Advanced Clinical Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609570563 PECOS PAC ID: 3870958002 Enrollment ID: O20230424000490 |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Ware Jr, 24 Old South Fork Rd, Kings Mountain, KY 40442-9702 Ph: (606) 448-0693 | Glen Ware Jr, 24 Old South Fork Rd, Kings Mountain, KY 40442-9702 Ph: (606) 448-0693 |