Dr Glen P Datres, AUD is a medicare enrolled "Audiologist" provider in Great Barrington, Massachusetts. He went to University Of Florida College Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Qualified Audiologist. He is a member of the group practice Berkshire Faculty Services Inc and his current practice location is
780 S Main St, Great Barrington, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(413) 528-3606.
Dr Glen P Datres is licensed to practice in Connecticut (license number 000439) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134363971.
Healthcare Provider's Profile
| Full Name | Dr Glen P Datres |
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| Gender | Male |
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| Speciality | Qualified Audiologist |
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| Experience | 24 Years |
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| Location | 780 S Main St, Great Barrington, Massachusetts |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Glen P Datres attended and graduated from University Of Florida College Of Medicine in 2000
NPI Data:
- NPI Number: 1134363971
- Provider Enumeration Date: 04/23/2009
- Last Update Date: 02/25/2013
Medicare PECOS Information:
- PECOS PAC ID: 6901086032
- Enrollment ID: I20110208000060
Medical Identifiers
Medical identifiers for Dr Glen P Datres such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134363971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 000439 (Connecticut) | Primary |
| 231H00000X | Audiologist | 802 (Massachusetts) | Secondary |
| 231H00000X | Audiologist | 856 (New York) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Berkshire Faculty Services Inc | 8224068424 | 232 |
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. Dr Glen P Datres allows following entities to bill medicare on his behalf.
| Provider Name | Berkshire Faculty Services Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1548212939
PECOS PAC ID: 8224068424
Enrollment ID: O20050817001122 |
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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. Dr Glen P Datres 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 |
|---|
Dr Glen P Datres, AUD
725 North St,
Pittsfield, MA 01201-4109
Ph: (413) 447-2752 | Dr Glen P Datres, AUD
780 S Main St,
Great Barrington, MA 01230-2148
Ph: (413) 528-3606 |
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