Bradley J Glenn, MD is a medicare enrolled "Radiology - Neuroradiology" physician in Danville, California. His current practice location is
784 El Pintado Rd, Danville, California. You can reach out to his office (for appointments etc.) via phone at
(920) 562-6481.
Bradley J Glenn is licensed to practice in Wisconsin (license number 47408) 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 1699701680.
Physician's Profile
Full Name | Bradley J Glenn |
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Gender | Male |
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Speciality | Radiology - Neuroradiology |
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Location | 784 El Pintado Rd, Danville, California |
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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: 1699701680
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 08/18/2008
Medicare PECOS Information:
- PECOS PAC ID: 3375506272
- Enrollment ID: I20081205000611
Medical Identifiers
Medical identifiers for Bradley J Glenn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699701680 | NPI | - | NPPES |
34588100 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085N0700X | Radiology - Neuroradiology | 47408 (Wisconsin) | 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. Bradley J Glenn allows following entities to bill medicare on his behalf.
Entity Name | Modesto Radiological Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992747547 PECOS PAC ID: 2062300239 Enrollment ID: O20040513000453 |
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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. Bradley J 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 |
Bradley J Glenn, MD 784 El Pintado Rd, Danville, CA 94526-1407 Ph: (920) 562-6481 | Bradley J Glenn, MD 784 El Pintado Rd, Danville, CA 94526-1407 Ph: (920) 562-6481 |
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