Kathleen Glenn, CRNP - Medicare Nurse Practitioner in Lebanon, PA

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Kathleen Glenn, CRNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Lebanon, Pennsylvania. Her current practice location is 252 S 4th St, Lebanon, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 851-2613.

Kathleen Glenn is licensed to practice in Pennsylvania (license number SP016649) 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 1932738150.

Contact Information

Kathleen Glenn, CRNP
252 S 4th St,
Lebanon, PA 17042-6111
(717) 851-2613
(717) 798-3677

Map and Direction




Provider's Profile

Full NameKathleen Glenn
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location252 S 4th St, Lebanon, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932738150
  • Provider Enumeration Date: 04/08/2020
  • Last Update Date: 11/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8325478514
  • Enrollment ID: I20200501001155

Medical Identifiers

Medical identifiers for Kathleen Glenn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932738150NPI-NPPES
1037625810001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics SP016649 (Pennsylvania)Primary
2080N0001XPediatrics - Neonatal-perinatal Medicine SP016649 (Pennsylvania)Secondary

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. Kathleen Glenn allows following entities to bill medicare on her behalf.
Entity NameWellspan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669770004
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815
Entity NameLehigh Valley Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780155689
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335
Entity NameEvangelical Medical Services Organization
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205928967
PECOS PAC ID: 9133033087
Enrollment ID: O20040310000212

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. Kathleen 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 AddressPractice Location Address
Kathleen Glenn, CRNP
601 Memory Ln,
York, PA 17402-2231

Ph: (717) 851-1405		Kathleen Glenn, CRNP
252 S 4th St,
Lebanon, PA 17042-6111

Ph: (717) 851-2613

Reviews and Comments


Nurse Practitioner Nurses in Lebanon, PA

Mrs. Alina N Glazunova, CRNP
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Phone: 717-273-8871    Fax: 717-270-2452
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Mrs. Kaley Elizabeth Barrett, CRNP
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Practice Location: 252 S 4th St, Lebanon, PA 17042
Phone: 717-270-7732    Fax: 717-270-7639

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.