Glenn Scott Slick Jr, MD is a
Student In An Organized Health Care Education/training Program physician based in Farmington, Connecticut. Glenn Scott Slick Jr is licensed to practice in Connecticut (license number 1588314587) and his current practice location is 263 Farmington Ave, Farmington, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 679-2147.
NPI number for Glenn Scott Slick Jr is 1588314587 and his current mailing address is 263 Farmington Ave, Farmington, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588314587.
Physician's Profile
| Full Name | Glenn Scott Slick Jr |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 263 Farmington Ave, Farmington, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588314587
- Provider Enumeration Date: 03/24/2022
- Last Update Date: 04/20/2023
Medical Identifiers
Medical identifiers for Glenn Scott Slick Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588314587 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 1588314587 (Connecticut) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 1588314587 (Connecticut) | 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 Scott Slick Jr 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 Scott Slick Jr, MD
263 Farmington Ave,
Farmington, CT 06030-1921
Ph: (860) 679-2147 | Glenn Scott Slick Jr, MD
263 Farmington Ave,
Farmington, CT 06030-2809
Ph: (860) 679-2147 |
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