Glen Ware Jr, is a medicare enrolled "Nurse Practitioner - Family" in Kings Mountain, Kentucky. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ephraim Mcdowell Health Resource Inc, Emhfl Inc, Ephraim Mcdowell Regional Medical Center Incorporated and his current practice location is
24 Old South Fork Rd, Kings Mountain, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 448-0693.
Glen Ware Jr is licensed to practice in Kentucky (license number 3012813) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1306314752.
Provider's Profile
| Full Name | Glen Ware Jr |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 24 Old South Fork Rd, Kings Mountain, Kentucky |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Glen Ware Jr graduated from nursing school in 2018
NPI Data:
- NPI Number: 1306314752
- Provider Enumeration Date: 11/04/2018
- Last Update Date: 04/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 4082953716
- Enrollment ID: I20190225001757
Medical Identifiers
Medical identifiers for Glen Ware Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306314752 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 3012813 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ephraim Mcdowell Health Resource Inc | 7517876956 | 161 |
| Emhfl Inc | 7416842364 | 12 |
| Ephraim Mcdowell Regional Medical Center Incorporated | 3375506447 | 40 |
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. Glen Ware Jr allows following entities to bill medicare on his behalf.
| Entity Name | Ephraim Mcdowell Health Resource Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487708533
PECOS PAC ID: 7517876956
Enrollment ID: O20031218000776 |
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| Entity Name | The James B Haggin Memorial Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558581785
PECOS PAC ID: 8527957448
Enrollment ID: O20040310001400 |
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| Entity Name | Ephraim Mcdowell Regional Medical Center Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316141351
PECOS PAC ID: 3375506447
Enrollment ID: O20041109001051 |
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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. Glen Ware Jr 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 |
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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 |
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