84 E. STATE ST ST. MARY'S HOSPITAL, GLOVERSVILLE FAM HLTH CNTR
GLOVERSVILLE, NY 12078 US PECOS Enrolled
John L Glenn
Physician (General Practice)
- GLOVERSVILLE, NY
- Phone: (518)-773-8894
- Last Updated 9/2/2010
Overview
John L Glenn is a Physician (General Practice) in the GLOVERSVILLE area and has over 43 years of experience. John L Glenn primary office location is at 84 E. STATE ST and new patients are welcome to contact this healthcare provider for an appointment. He attended New York Medical College and graduated 1982
John L Glenn is affiliated with two hospitals in the GLOVERSVILLE area, including ST MARY'S HEALTHCARE. The NPI number is 1821056433 and the information was updated approximately 15 years ago.
John L Glenn is affiliated with one medical group in the GLOVERSVILLE area, ST. MARY'S HEALTHCARE.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 1575271 | NY |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 00890859 | NY |
| Taxonomy | State | Primary? |
|---|---|---|
| Physician (General Practice) - Taxonomy Code 208D00000X | NY | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20090306000495 |
| PECOS Individual PAC ID: | 8820154362 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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