Glenn Allen Gehrke, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Cordova, Tennessee. His current practice location is
8001 Centerview Pkwy Ste 215, Cordova, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(901) 249-5905.
Glenn Allen Gehrke is licensed to practice in Tennessee (license number 53805) 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 1073696977.
Physician's Profile
| Full Name | Glenn Allen Gehrke |
|---|
| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 8001 Centerview Pkwy Ste 215, Cordova, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073696977
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 04/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 6305844820
- Enrollment ID: I20160627000815
Medical Identifiers
Medical identifiers for Glenn Allen Gehrke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073696977 | NPI | - | NPPES |
| 6066289 | Other | TN | BLUE CROSS BLUE SHIELD |
| Q022062 | Medicaid | TN | |
| 07274365 | Medicaid | MS | |
| P01704491 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 4301080570 (Michigan) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 4301080570 (Michigan) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 24839 (Mississippi) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 53805 (Tennessee) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 4301080570 (Michigan) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 24839 (Mississippi) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 53805 (Tennessee) | Primary |
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. Glenn Allen Gehrke 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 |
|---|
Glenn Allen Gehrke, MD
67 Lakeview Dr,
Paducah, KY 42001-5619
Ph: (270) 554-8373 | Glenn Allen Gehrke, MD
8001 Centerview Pkwy Ste 215,
Cordova, TN 38018-4276
Ph: (901) 249-5905 |
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