Sally Jane Glowicki, MA is a medicare enrolled "Counselor - Professional" provider in Farmville, Virginia. Her current practice location is
214 Bush River Dr, Farmville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 392-7049.
Sally Jane Glowicki is licensed to practice in Virginia (license number 0701006136) 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 1346463965.
Healthcare Provider's Profile
Full Name | Sally Jane Glowicki |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 214 Bush River Dr, Farmville, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346463965
- Provider Enumeration Date: 04/11/2007
- Last Update Date: 09/01/2015
Medicare PECOS Information:
- PECOS PAC ID: 2163945296
- Enrollment ID: I20250331001029
Medical Identifiers
Medical identifiers for Sally Jane Glowicki such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346463965 | NPI | - | NPPES |
004945450 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 6301013113 (Michigan) | Secondary |
101YP2500X | Counselor - Professional | 0701006136 (Virginia) | Primary |
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. Sally Jane Glowicki allows following entities to bill medicare on her behalf.
Entity Name | Shumate Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487489134 PECOS PAC ID: 1557884715 Enrollment ID: O20250327003663 |
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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. Sally Jane Glowicki 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 |
Sally Jane Glowicki, MA 214 Bush River Dr, Farmville, VA 23901-3179 Ph: (434) 392-7049 | Sally Jane Glowicki, MA 214 Bush River Dr, Farmville, VA 23901-3179 Ph: (434) 392-7049 |
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