Dr Glenn Donnelly, DO, MPH is a
Preventive Medicine - Aerospace Medicine physician based in Patrick Afb, Florida. Dr Glenn Donnelly is licensed to practice in Texas (license number L6867) and his current practice location is 1381 S Patrick Dr, Patrick Afb, Florida. He can be reached at his office (for appointments etc.) via phone at
(318) 828-3856.
NPI number for Dr Glenn Donnelly is 1730169400 and his current mailing address is 1381 S Patrick Dr, Patrick Afb, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730169400.
Physician's Profile
| Full Name | Dr Glenn Donnelly |
|---|
| Gender | Male |
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| Speciality | Preventive Medicine - Aerospace Medicine |
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| Location | 1381 S Patrick Dr, Patrick Afb, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730169400
- Provider Enumeration Date: 01/19/2006
- Last Update Date: 11/15/2012
Medical Identifiers
Medical identifiers for Dr Glenn Donnelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730169400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083A0100X | Preventive Medicine - Aerospace Medicine | L6867 (Texas) | 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 Donnelly 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 |
|---|
Dr Glenn Donnelly, DO, MPH
1381 S Patrick Dr,
Patrick Afb, FL 32925-3606
Ph: (318) 828-3856 | Dr Glenn Donnelly, DO, MPH
1381 S Patrick Dr,
Patrick Afb, FL 32925-3606
Ph: (318) 828-3856 |
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