Mrs Beverly Kay Glasure, PA is a medicare enrolled "Physician Assistant" in Kingston, Tennessee. Her current practice location is
820 W Race St, Kingston, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 376-3406.
Mrs Beverly Kay Glasure is licensed to practice in Tennessee (license number 085) 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 1336287705.
Provider's Profile
| Full Name | Mrs Beverly Kay Glasure |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 820 W Race St, Kingston, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336287705
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 04/22/2009
Medicare PECOS Information:
- PECOS PAC ID: 7517928799
- Enrollment ID: I20041021000101
Medical Identifiers
Medical identifiers for Mrs Beverly Kay Glasure such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336287705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 085 (Tennessee) | 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. Mrs Beverly Kay Glasure 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 |
|---|
Mrs Beverly Kay Glasure, PA
3840 Kingston Hwy,
Kingston, TN 37763-5331
Ph: (865) 717-1270 | Mrs Beverly Kay Glasure, PA
820 W Race St,
Kingston, TN 37763-2120
Ph: (865) 376-3406 |
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