Dr Glenn George Thomason, DDS is a medicare enrolled "Dentist" provider in Tierra Amarilla, New Mexico. His current practice location is
U.s. Hwy 84 N, Cr 324, #14, Tierra Amarilla, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 588-7289.
Dr Glenn George Thomason is licensed to practice in New Mexico (license number DD-2075) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093798985.
Healthcare Provider's Profile
Full Name | Dr Glenn George Thomason |
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Gender | Male |
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Speciality | Dentist |
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Location | U.s. Hwy 84 N, Cr 324, #14, Tierra Amarilla, New Mexico |
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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: 1093798985
- Provider Enumeration Date: 11/23/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7113221060
- Enrollment ID: I20160212001282
Medical Identifiers
Medical identifiers for Dr Glenn George Thomason such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093798985 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DD-2075 (New Mexico) | Primary |
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 Glenn George Thomason 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 Glenn George Thomason, DDS Po Box 616, Chama, NM 87520-0616 Ph: (505) 756-2345 | Dr Glenn George Thomason, DDS U.s. Hwy 84 N, Cr 324, #14, Tierra Amarilla, NM 87576 Ph: (505) 588-7289 |
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