Dr Richard J Gluckman, MD is a medicare enrolled "Pediatrics" physician in Powder Springs, Georgia. His current practice location is
5086 Schofield Ct., Powder Springs, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 433-1788.
Dr Richard J Gluckman is licensed to practice in Georgia (license number 013892) 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 1154360915.
Physician's Profile
Full Name | Dr Richard J Gluckman |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 5086 Schofield Ct., Powder Springs, Georgia |
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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: 1154360915
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 07/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 3577792332
- Enrollment ID: I20140128000599
Medical Identifiers
Medical identifiers for Dr Richard J Gluckman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154360915 | NPI | - | NPPES |
00110602A | Medicaid | GA | |
000110602L | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 013892 (Georgia) | 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 Richard J Gluckman allows following entities to bill medicare on his behalf.
Entity Name | Yukon-kuskokwim Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447477815 PECOS PAC ID: 5193718765 Enrollment ID: O20040407001515 |
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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. Dr Richard J Gluckman 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 Richard J Gluckman, MD 5086 Schofield Ct., Powder Springs, GA 30127 Ph: (404) 433-1788 | Dr Richard J Gluckman, MD 5086 Schofield Ct., Powder Springs, GA 30127 Ph: (404) 433-1788 |
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