Dr Glenn E Harnett, MD | |
1680 Montgomery Hwy, Hoover, AL 35216-4906 | |
(205) 979-0888 | |
(205) 979-4110 |
Full Name | Dr Glenn E Harnett |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 1680 Montgomery Hwy, Hoover, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982644407 | NPI | - | NPPES |
801486406B | Medicaid | GA | |
10058667 | Other | GA | AMERIGROUP |
801486406A | Medicaid | GA | |
801486406D | Medicaid | GU | |
801486406F | Medicaid | SC | |
801486406H | Medicaid | GA | |
801486406E | Medicaid | GA | |
G52451 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 052451 (Georgia) | Secondary |
207P00000X | Emergency Medicine | 27336 (South Carolina) | Secondary |
208D00000X | General Practice | 31023 (Alabama) | Primary |
Entity Name | American Family Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 |
Mailing Address | Practice Location Address |
---|---|
Dr Glenn E Harnett, MD 2147 Riverchase Office Rd, Hoover, AL 35244-1836 Ph: (205) 421-2122 | Dr Glenn E Harnett, MD 1680 Montgomery Hwy, Hoover, AL 35216-4906 Ph: (205) 979-0888 |
Trey D Lott, MD General Practice Medicare: Medicare Enrolled Practice Location: 2010 Patton Chapel Rd, Suite 201, Hoover, AL 35216 Phone: 205-822-3333 | |
Tom Welch, MD General Practice Medicare: Medicare Enrolled Practice Location: 5608 Fairway Ct, Hoover, AL 35244 Phone: 205-733-1733 Fax: 205-733-1733 | |
Kelley Danielle Fry, MSN, CRNP, FNP-BC General Practice Medicare: Accepting Medicare Assignments Practice Location: 1989 Montgomery Hwy, Hoover, AL 35244 Phone: 659-599-9512 |