Dr Glenn J Kietzer, MD in Tacoma, WA - Medicare General Practice

Dr Glenn J Kietzer, MD is a medicare enrolled "General Practice" physician in Tacoma, Washington. His current practice location is 15005 Pacific Ave, Spanaway General Medical, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 537-3724.

Dr Glenn J Kietzer is licensed to practice in Washington (license number MD00009584) 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 1003847179.

Contact Information

	Dr Glenn J Kietzer, MD
	15005 Pacific Ave, Spanaway General Medical, Tacoma, WA 98444
	(253) 537-3724
	(253) 537-6425

Map and Direction

Physician's Profile

Full Name	Dr Glenn J Kietzer
Gender	Male
Speciality	General Practice
Location	15005 Pacific Ave, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003847179
Provider Enumeration Date: 07/06/2006
Last Update Date: 05/07/2014

Medicare PECOS Information:

PECOS PAC ID: 8729188701
Enrollment ID: I20070703000684

Medical Identifiers

Medical identifiers for Dr Glenn J Kietzer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003847179	NPI	-	NPPES
1195601	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	MD00009584 (Washington)	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. Dr Glenn J Kietzer allows following entities to bill medicare on his behalf.

Entity Name	Northwestern Healthcare Management Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457873002 PECOS PAC ID: 2365715026 Enrollment ID: O20170831003358

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 J Kietzer 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
Dr Glenn J Kietzer, MD 15005 Pacific Ave, Spanaway General Medical, Tacoma, WA 98444 Ph: (253) 537-3724	Dr Glenn J Kietzer, MD 15005 Pacific Ave, Spanaway General Medical, Tacoma, WA 98444 Ph: (253) 537-3724

Reviews and Comments

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Dr Glenn J Kietzer, MD - Medicare General Practice in Tacoma, WA