Shana Marie Glynn, MS, RPA-C, RD, CDN is a
Physician Assistant based in Calverton, New York. Shana Marie Glynn is licensed to practice in New York (license number 019490) and her current practice location is
525 Jan Way, Calverton, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 508-5400.
NPI number for Shana Marie Glynn is 1174996334 and her current mailing address is 525 Jan Way, Calverton, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174996334.
Healthcare Provider's Profile
| Full Name | Shana Marie Glynn |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
|---|
| Location | 525 Jan Way, Calverton, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174996334
- Provider Enumeration Date: 11/09/2015
- Last Update Date: 05/15/2023
Medical Identifiers
Medical identifiers for Shana Marie Glynn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174996334 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 007626 (New York) | Secondary |
| 363A00000X | Physician Assistant | 019490 (New York) | 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. Shana Marie Glynn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shana Marie Glynn, MS, RPA-C, RD, CDN
525 Jan Way,
Calverton, NY 11933-3005
Ph: (631) 508-5400 | Shana Marie Glynn, MS, RPA-C, RD, CDN
525 Jan Way,
Calverton, NY 11933
Ph: (631) 508-5400 |
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