Glen J Bridges, DMD is a medicare enrolled "Dentist - General Practice" provider in Jackson, Alabama. His current practice location is
125 W Church St, Jackson, Alabama. You can reach out to his office (for appointments etc.) via phone at
(251) 246-4404.
Glen J Bridges is licensed to practice in Alabama (license number 3658) 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 1326124041.
Healthcare Provider's Profile
Full Name | Glen J Bridges |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 125 W Church St, Jackson, Alabama |
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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: 1326124041
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1052624715
- Enrollment ID: I20171010003476
Medical Identifiers
Medical identifiers for Glen J Bridges such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326124041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 3658 (Alabama) | 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. Glen J Bridges 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 |
Glen J Bridges, DMD Po Box 1135, Jackson, AL 36545-1135 Ph: (251) 246-4404 | Glen J Bridges, DMD 125 W Church St, Jackson, AL 36545-2733 Ph: (251) 246-4404 |
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