Dr Glenn R Willett, MD | |
101 Medical Park Dr, Mebane, NC 27302-7639 | |
(919) 563-2500 | |
(919) 563-3535 |
Full Name | Dr Glenn R Willett |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 101 Medical Park Dr, Mebane, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063432912 | NPI | - | NPPES |
8987638 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 95-00476 (North Carolina) | Primary |
Entity Name | Private Diagnostic Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
Mailing Address | Practice Location Address |
---|---|
Dr Glenn R Willett, MD Po Box 1717, Burlington, NC 27216-1717 Ph: (336) 538-1234 | Dr Glenn R Willett, MD 101 Medical Park Dr, Mebane, NC 27302-7639 Ph: (919) 563-2500 |
Dr. Deanna Craven Jones, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3940 Arrowhead Blvd Ste 220, Mebane, NC 27302 Phone: 919-563-3007 | |
Barbara D Aldridge, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 E Dogwood Dr, Mebane, NC 27302 Phone: 919-563-4000 Fax: 919-563-8453 | |
Dr. Dale Eldred Feldpausch Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Medical Park Dr, Mebane, NC 27302 Phone: 336-538-1234 Fax: 336-538-2390 | |
Benison Mangel, Family Medicine Medicare: Medicare Enrolled Practice Location: 919 S Fifth St, Mebane, NC 27302 Phone: 919-563-2896 | |
Dr. Timothy J. Mcgrath, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Medical Park Dr, Mebane, NC 27302 Phone: 336-538-1234 Fax: 336-584-6811 | |
Laura Katherine Bliss, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 132 Millstead Dr, Mebane, NC 27302 Phone: 919-563-4444 |