Glenn F Devries is a
Podiatrist - Foot & Ankle Surgery based in Berlin, Wisconsin. Glenn F Devries is licensed to practice in Wisconsin (license number 467) and their current practice location is
322 Broadway St, Berlin, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(920) 361-3036.
NPI number for Glenn F Devries is 1821176124 and their current mailing address is 322 Broadway St, Berlin, Wisconsin. Glenn F Devries
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1821176124.
Healthcare Provider's Profile
| Full Name | Glenn F Devries |
|---|
| Type | Facility |
|---|
| Speciality | Podiatrist - Foot & Ankle Surgery |
|---|
| Location | 322 Broadway St, Berlin, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821176124
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 02/17/2009
Medical Identifiers
Medical identifiers for Glenn F Devries such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1821176124 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 467 (Wisconsin) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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. Glenn F Devries 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 |
Glenn F Devries 322 Broadway St, Berlin, WI 54923-1706 Ph: (920) 361-3036 | Glenn F Devries 322 Broadway St, Berlin, WI 54923-1706 Ph: (920) 361-3036 |
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