Glenn Allen Gehrke, MD is a
Pain Medicine - Interventional Pain Medicine physician based in Cordova, Tennessee. Glenn Allen Gehrke is licensed to practice in Tennessee (license number 53805) and his current practice location is 8001 Centerview Pkwy Ste 215, Cordova, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(901) 249-5905.
NPI number for Glenn Allen Gehrke is 1073696977 and his current mailing address is 67 Lakeview Dr, Paducah, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. 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 |
|---|
| Location | 8001 Centerview Pkwy Ste 215, Cordova, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073696977
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 04/04/2019
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
NOT enrolled with medicare and thus cannot 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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