Dr Travis Wagner Glenn, MD | |
85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | |
(808) 244-5766 | |
Not Available |
Full Name | Dr Travis Wagner Glenn |
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Gender | Male |
Speciality | Family Practice |
Experience | 7 Years |
Location | 85 Maui Lani Pkwy, Wailuku, Hawaii |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841729670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD21270 (Hawaii) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bayada Home Health Care | Wailuku, HI | Home health agency |
Maui Memorial Medical Center | Wailuku, HI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Glenn Family Medicine, Llc | 8729480744 | 2 |
Entity Name | Glenn Family Medicine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508443805 PECOS PAC ID: 8729480744 Enrollment ID: O20210714001118 |
Mailing Address | Practice Location Address |
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Dr Travis Wagner Glenn, MD 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 Ph: () - | Dr Travis Wagner Glenn, MD 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 Ph: (808) 244-5766 |
John G Meisel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Dr. Bradley Holman Glenn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-244-5366 | |
Dr. Diane Nagasaka, M..D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-242-4209 | |
Dr. Guy M. Sugino, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 55 Mauilani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Kathleen Kearns, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1881 Nani St, Wailuku, HI 96793 Phone: 808-871-7772 Fax: 808-872-4092 | |
Gabrielle A O'sullivan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1881 Nani Street, Wailuku, HI 96793 Phone: 808-871-7772 Fax: 808-872-4036 | |
Errol T Buntuyan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 |