Terry Glenn, in Maryville, IL - Medicare Counselor Provider

Terry Glenn, is a medicare enrolled "Counselor - Mental Health" provider in Maryville, Illinois. Her current practice location is 2148 Vadalabene Dr, Maryville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 288-3100.

Terry Glenn is licensed to practice in Illinois (license number 178.011987) 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 1699316877.

Contact Information

	Terry Glenn,
	2148 Vadalabene Dr, Maryville, IL 62062-5632
	(618) 288-3100
	(618) 288-3371

Map and Direction

Healthcare Provider's Profile

Full Name	Terry Glenn
Gender	Female
Speciality	Counselor - Mental Health
Location	2148 Vadalabene Dr, Maryville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699316877
Provider Enumeration Date: 09/30/2019
Last Update Date: 11/13/2023

Medicare PECOS Information:

PECOS PAC ID: 9739524158
Enrollment ID: I20240226001270

Medical Identifiers

Medical identifiers for Terry Glenn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699316877	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	178.001987 (Illinois)	Secondary
101YP2500X	Counselor - Professional	178.011987 (Illinois)	Secondary
101YM0800X	Counselor - Mental Health	178.011987 (Illinois)	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. Terry Glenn allows following entities to bill medicare on her behalf.

Entity Name	Chestnut Health Systems, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366431686 PECOS PAC ID: 1052393063 Enrollment ID: O20040603000738

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. Terry Glenn 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
Terry Glenn, 448 Wylie Dr, Normal, IL 61761-5405 Ph: (309) 820-3744	Terry Glenn, 2148 Vadalabene Dr, Maryville, IL 62062-5632 Ph: (618) 288-3100

Reviews and Comments

Counselor in Maryville, IL

Jean Mcgurk O'brien, M.A., LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 3 Oak Dr Ste B, Maryville, IL 62062 Phone: 618-514-1386 Fax: 309-323-0475
Kathi Wallace, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Schiber Ct Ste D, Maryville, IL 62062 Phone: 314-626-4285
Mr. Marcus A. Piper, M.S., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Professional Park Dr # A, Maryville, IL 62062 Phone: 618-210-2039 Fax: 618-288-0737
Mrs. Rebecca Leigh Salah, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2148 Vadalabene Dr, Maryville, IL 62062 Phone: 618-288-3100
Robin Turner-viviano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2016 Vadalabene Dr, Suite A, Maryville, IL 62062 Phone: 618-250-2115
Mrs. Alicia Drew, LPC, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2016 Vadalabene Dr Ste A, Maryville, IL 62062 Phone: 618-567-8827 Fax: 618-288-0737
Melissa S Jordan-murphy, LCPC CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6201 W Main St, Suite110, Maryville, IL 62062 Phone: 618-343-6230

Terry Glenn, - Medicare Counselor in Maryville, IL