Glen R Stream, MD in La Quinta, CA - Medicare Family Medicine

Glen R Stream, MD is a medicare enrolled "Family Medicine" physician in La Quinta, California. His current practice location is 45280 Seeley Dr, 3rd Floor E-365, La Quinta, California. You can reach out to his office (for appointments etc.) via phone at (760) 610-7300.

Glen R Stream is licensed to practice in California (license number G89420) 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 1265425326.

Contact Information

	Glen R Stream, MD
	45280 Seeley Dr, 3rd Floor E-365, La Quinta, CA 92253-6834
	(760) 610-7300
	(760) 610-7301

Map and Direction

Physician's Profile

Full Name	Glen R Stream
Gender	Male
Speciality	Family Medicine
Location	45280 Seeley Dr, La Quinta, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265425326
Provider Enumeration Date: 08/24/2005
Last Update Date: 03/01/2016

Medicare PECOS Information:

PECOS PAC ID: 3476462060
Enrollment ID: I20040709000867

Medical Identifiers

Medical identifiers for Glen R Stream such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265425326	NPI	-	NPPES
8506404	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD00021005 (Washington)	Secondary
207Q00000X	Family Medicine	G89420 (California)	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. Glen R Stream allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453

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. Glen R Stream 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
Glen R Stream, MD 45280 Seeley Dr, 3rd Floor, La Quinta, CA 92253-6834 Ph: (760) 610-7300	Glen R Stream, MD 45280 Seeley Dr, 3rd Floor E-365, La Quinta, CA 92253-6834 Ph: (760) 610-7300

Reviews and Comments

Family Medicine Doctors in La Quinta, CA

Benjamin Mahdi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45280 Seeley Dr, 2nd Floor, La Quinta, CA 92253 Phone: 760-834-7920 Fax: 760-834-7921
Mrs. Kulwinder Kaur Fayssoux, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45280 Seeley Dr, 2nd Floor, La Quinta, CA 92253 Phone: 760-834-7920 Fax: 760-834-7921
Dr. Arpee F Yeretzian, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45280 Seeley Dr, La Quinta, CA 92253 Phone: 760-610-7220 Fax: 760-610-7302
Matthew L Werner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 47250 Washington St, A, La Quinta, CA 92253 Phone: 760-771-9437 Fax: 760-564-8581
Catherine Marie Bianchi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 78150 Calle Tampico Ste 100, La Quinta, CA 92253 Phone: 760-346-1133
Dr. Martin Arayikovich Sahakyan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 51625 Desert Club Dr Ste 208, La Quinta, CA 92253 Phone: 818-441-2177 Fax: 747-300-2112
Kenneth Douglas Thrasher, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45280 Seeley Dr, Argyros Health Center, 2nd Floor, La Quinta, CA 92253 Phone: 760-834-7920 Fax: 760-834-7921

Glen R Stream, MD - Medicare Family Medicine in La Quinta, CA