Mr Glen Neal Lilly Ii, PA-C in Hollywood, MD - Medicare Physician Assistant

Mr Glen Neal Lilly Ii, PA-C is a medicare enrolled "Physician Assistant" in Hollywood, Maryland. He graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Georgetown Physician Associates, Llc, Medstar Medical Group - Southern Maryland Llc and his current practice location is 24035 Three Notch Rd, Hollywood, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 373-7100.

Mr Glen Neal Lilly Ii is licensed to practice in Maryland (license number C0009583) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275935934.

Contact Information

	Mr Glen Neal Lilly Ii, PA-C
	24035 Three Notch Rd, Hollywood, MD 20636-4871
	(301) 373-7100
	(301) 373-6100

Map and Direction

Provider's Profile

Full Name	Mr Glen Neal Lilly Ii
Gender	Male
Speciality	Physician Assistant
Experience	11 Years
Location	24035 Three Notch Rd, Hollywood, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Glen Neal Lilly Ii graduated from nursing school in 2014

NPI Data:

NPI Number: 1275935934
Provider Enumeration Date: 09/24/2014
Last Update Date: 01/02/2025

Medicare PECOS Information:

PECOS PAC ID: 6002133303
Enrollment ID: I20150325002616

Medical Identifiers

Medical identifiers for Mr Glen Neal Lilly Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275935934	NPI	-	NPPES
216982700	Medicaid	MD
2189	Other	SC	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	C0009583 (Maryland)	Primary
363A00000X	Physician Assistant	TL2189 (South Carolina)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Medstar Health Vna, Inc	Calverton, MD	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Georgetown Physician Associates, Llc	2365697398	197
Medstar Medical Group - Southern Maryland Llc	1355667056	224

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. Mr Glen Neal Lilly Ii 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
Mr Glen Neal Lilly Ii, PA-C Po Box 640, Hollywood, MD 20636-0640 Ph: (301) 373-7100	Mr Glen Neal Lilly Ii, PA-C 24035 Three Notch Rd, Hollywood, MD 20636-4871 Ph: (301) 373-7100

Reviews and Comments

Physician Assistant Nurses in Hollywood, MD

Mark Mozingo, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24035 Three Notch Rd, Hollywood, MD 20636 Phone: 301-373-7900 Fax: 301-373-6900
Dianne Nichols, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24035 Three Notch Rd, Hollywood, MD 20636 Phone: 301-373-7900 Fax: 301-373-6900
Rachel Leanne Bilo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24035 Three Notch Rd, Hollywood, MD 20636 Phone: 301-373-7900
Mrs. Hanna Kristina Dennis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24035 Three Notch Rd, Hollywood, MD 20636 Phone: 301-373-7100 Fax: 301-373-6100

Mr Glen Neal Lilly Ii, PA-C - Medicare Physician Assistant in Hollywood, MD