Dr Glen P Datres, AUD is a medicare enrolled "Audiologist" provider in Great Barrington, Massachusetts. 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 | |
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Experience | 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. |
Medical Education and Training:
- Dr Glen P Datres attended and graduated from in
NPI Data:
- NPI Number: 1134363971
- Provider Enumeration Date: 04/23/2009
- Last Update Date: 02/25/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
231H00000X | Audiologist | 000439 (Connecticut) | Primary |
231H00000X | Audiologist | 802 (Massachusetts) | Secondary |
231H00000X | Audiologist | 856 (New York) | 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. 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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