George Russell Glenn, MD PHD in Columbia, SC

George Russell Glenn, MD PHD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Columbia, South Carolina. His current practice location is Internal Medicine Clinic, 1801 Sunset Drive, Columbia, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 434-4153.

George Russell Glenn is licensed to practice in Georgia (license number 95127) 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 1396239125.

Contact Information

	George Russell Glenn, MD PHD
	Internal Medicine Clinic, 1801 Sunset Drive, Columbia, SC 29203
	(803) 434-4153
	(803) 434-4160

Map and Direction

Physician's Profile

Full Name	George Russell Glenn
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	Internal Medicine Clinic, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396239125
Provider Enumeration Date: 06/15/2018
Last Update Date: 12/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9234483066
Enrollment ID: I20240117003192

Medical Identifiers

Medical identifiers for George Russell Glenn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396239125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	95127 (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. George Russell Glenn allows following entities to bill medicare on his behalf.

Entity Name	Central Illinois Radiological Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20171103002605

Entity Name	Radiology Chartered
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760416895 PECOS PAC ID: 1557394988 Enrollment ID: O20240220003695

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. George Russell Glenn 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
George Russell Glenn, MD PHD 2825 Oak Lawn Ave Unit 192749, Dallas, TX 75219-4688 Ph: (510) 683-9500	George Russell Glenn, MD PHD Internal Medicine Clinic, 1801 Sunset Drive, Columbia, SC 29203 Ph: (803) 434-4153

Reviews and Comments

Radiology Doctors in Columbia, SC

Dr. Jason P Eastlack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1519 Marion St, Columbia, SC 29201 Phone: 803-296-5954 Fax: 803-296-3076
Dr. James Joseph Farrell, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: Wjb Dorn Vamc, 6439 Garners Ferry Road, Columbia, SC 29209 Phone: 803-695-6811 Fax: 803-695-6745
Dr. Raleigh J Boulware, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7 Medical Park, Suite 104, Columbia, SC 29223 Phone: 803-434-3400 Fax: 803-434-3938
Gerald Edmund Richmond, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2000 Park St, Columbia, SC 29201 Phone: 803-462-3770 Fax: 803-462-3771
Dr. Robert Wesley Smith, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5 Richland Medical Park Dr, Columbia, SC 29203 Phone: 803-434-7000
Nichole Holmes, RT(R, CT) Radiology Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000
Mrs. Jennifer Cecile Wood, Radiology Medicare: Not Enrolled in Medicare Practice Location: 5 Richland Medical Park Dr, Columbia, SC 29203 Phone: 803-434-6766

George Russell Glenn, MD PHD - Medicare Radiology in Columbia, SC