Stephanie Glenn, APRN is a medicare enrolled "Nurse Practitioner - Family" in Marianna, Arkansas. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lee County Cooperative Clinic and her current practice location is
558 Atkins Blvd, Marianna, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 298-4258.
Stephanie Glenn is licensed to practice in Arkansas (license number 215156) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457930497.
Provider's Profile
| Full Name | Stephanie Glenn |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 558 Atkins Blvd, Marianna, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stephanie Glenn graduated from nursing school in 2020
NPI Data:
- NPI Number: 1457930497
- Provider Enumeration Date: 04/06/2021
- Last Update Date: 10/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 5395138044
- Enrollment ID: I20220202000917
Medical Identifiers
Medical identifiers for Stephanie Glenn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457930497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 215156 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lee County Cooperative Clinic | 8921917204 | 3 |
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. Stephanie Glenn allows following entities to bill medicare on her behalf.
| Entity Name | Lee County Cooperative Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669480836
PECOS PAC ID: 8921917204
Enrollment ID: O20081213000190 |
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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. Stephanie Glenn 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 |
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Stephanie Glenn, APRN
558 Atkins Blvd,
Marianna, AR 72360-2113
Ph: (870) 295-5225 | Stephanie Glenn, APRN
558 Atkins Blvd,
Marianna, AR 72360-2113
Ph: (870) 298-4258 |
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