| Ms Kellie M Glenn, PA-C | |
|
119 Belmont St, Worcester, MA 01605-2903 | |
| (508) 334-3170 | |
| (508) 334-9762 |
| Full Name | Ms Kellie M Glenn |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 119 Belmont St, Worcester, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609163211 | NPI | - | NPPES |
| 110124767A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA4205 (Massachusetts) | Primary |
| 363AS0400X | Physician Assistant - Surgical | PA4205 (Massachusetts) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Milford Regional Medical Center | Milford, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Milford Regional Physician Group, Inc. | 5597679449 | 224 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kellie M Glenn, PA-C Po Box 415348, Boston, MA 02241-5348 Ph: () - | Ms Kellie M Glenn, PA-C 119 Belmont St, Worcester, MA 01605-2903 Ph: (508) 334-3170 |
Mark Manzo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 210 Park Ave Ste 163, Worcester, MA 01609 Phone: 508-752-0843 | |
Helen Copsey, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-8585 Fax: 508-334-4799 | |
Daniel J Zinkus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-7552 Fax: 774-441-6086 | |
Rachel Noone, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 281 Lincoln St, Worcester, MA 01605 Phone: 508-334-6158 | |
Kyle Fernandez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-8515 Fax: 508-334-6490 | |
Ms. Dukilda Hasanllari, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19 Foster St, Worcester, MA 01608 Phone: 508-373-5607 | |
Marie L Gut, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Orthopedics, Worcester, MA 01655 Phone: 508-334-2372 Fax: 508-334-3408 |