Mr Glen S Farris, PA is a
Physician Assistant based in Newton, Texas. Mr Glen S Farris is licensed to practice in Texas (license number PA00499) and his current practice location is
207 E Court St, Newton, Texas. He can be reached at his office (for appointments etc.) via phone at
(409) 379-2647.
NPI number for Mr Glen S Farris is 1093781304 and his current mailing address is Rr 1 Box 42, Jasper, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093781304.
Provider's Profile
| Full Name | Mr Glen S Farris |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 207 E Court St, Newton, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093781304
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Glen S Farris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093781304 | NPI | - | NPPES |
| 0083GN | Other | | BCBS GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA00499 (Texas) | Primary |
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 S Farris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Glen S Farris, PA
Rr 1 Box 42,
Jasper, TX 75951-9801
Ph: (409) 384-8089 | Mr Glen S Farris, PA
207 E Court St,
Newton, TX 75966-3203
Ph: (409) 379-2647 |
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