Kelsey B Glover, PA-C - Medicare Physician Assistant in Portland, TN

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Kelsey B Glover, PA-C is a medicare enrolled "Physician Assistant - Medical" in Portland, Tennessee. Her current practice location is 124 Ewing Dr, Portland, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 714-6065.

Kelsey B Glover is licensed to practice in NU (license number ) 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 1265026041.

Contact Information

Kelsey B Glover, PA-C
124 Ewing Dr,
Portland, TN 37148-1681
(615) 714-6065
Not Available

Map and Direction




Provider's Profile

Full NameKelsey B Glover
GenderFemale
SpecialityPhysician Assistant - Medical
Location124 Ewing Dr, Portland, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265026041
  • Provider Enumeration Date: 02/23/2021
  • Last Update Date: 03/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9931509015
  • Enrollment ID: I20230403002169

Medical Identifiers

Medical identifiers for Kelsey B Glover such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265026041NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (NU)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. Kelsey B Glover allows following entities to bill medicare on her behalf.
Entity NameCG Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982903951
PECOS PAC ID: 6608052196
Enrollment ID: O20110518000216

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. Kelsey B Glover 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
Kelsey B Glover, PA-C
124 Ewing Dr,
Portland, TN 37148-1681

Ph: (615) 714-6065		Kelsey B Glover, PA-C
124 Ewing Dr,
Portland, TN 37148-1681

Ph: (615) 714-6065

Reviews and Comments


Physician Assistant Nurses in Portland, TN

Emily Jane Vaughn, PA-C
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Practice Location: 934 S Broadway St Ste C, Portland, TN 37148
Phone: 615-325-6446    
Stephanie Calvin, MA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 782 College St, Portland, TN 37148
Phone: 615-323-9464    
Laura Porter-guyer, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 934 S Broadway St Ste C, Portland, TN 37148
Phone: 615-325-6446    Fax: 615-325-2165

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.