Dr Robert Clifton Glenn, MD | |
308 W State St Ste 3d, Redlands, CA 92373-4653 | |
(909) 566-9669 | |
(909) 353-4985 |
Full Name | Dr Robert Clifton Glenn |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 308 W State St Ste 3d, Redlands, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902033210 | NPI | - | NPPES |
317375 | Medicaid | SC | |
332429 | Other | LA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 332429 (Louisiana) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 31737 (South Carolina) | Primary |
Entity Name | Supportive Care Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891362877 PECOS PAC ID: 9638573132 Enrollment ID: O20210805001266 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Clifton Glenn, MD 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042 Ph: (803) 536-1571 | Dr Robert Clifton Glenn, MD 308 W State St Ste 3d, Redlands, CA 92373-4653 Ph: (909) 566-9669 |
Pei S Liu, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1839 W Redlands Blvd, Redlands, CA 92373 Phone: 951-785-7190 Fax: 951-688-7246 | |
Mrs. Yaniz Seeley, MSN, PMHNP-BC Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1235 W Olive Ave, Redlands, CA 92373 Phone: 931-698-2854 | |
Dr. Cheryl Lea Green, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Behavioral Medicine Center, Loma Linda University, 1710 Barton Rd, Redlands, CA 92373 Phone: 909-558-9219 | |
Surya T Edpuganti, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1809 W Redlands Blvd, Redlands, CA 92373 Phone: 909-335-3026 Fax: 303-335-3167 | |
Lauren Laddaran, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1686 Barton Rd Rm 1306, Redlands, CA 92373 Phone: 909-558-9567 | |
Darcy Trenkle, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1686 Barton Rd, Box E, Redlands, CA 92373 Phone: 909-558-9551 | |
Neelima Kunam, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1809 W Redlands Blvd Ste 103, Redlands, CA 92373 Phone: 909-335-3026 |