Kathleen Glenn, CRNP in Lebanon, PA

Kathleen Glenn, CRNP is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Lebanon, Pennsylvania. Her current practice location is 252 S 4th St, Lebanon, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 851-2613.

Kathleen Glenn is licensed to practice in Pennsylvania (license number SP016649) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932738150.

Contact Information

	Kathleen Glenn, CRNP
	252 S 4th St, Lebanon, PA 17042-6111
	(717) 851-2613
	(717) 798-3677

Map and Direction

Physician's Profile

Full Name	Kathleen Glenn
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	252 S 4th St, Lebanon, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932738150
Provider Enumeration Date: 04/08/2020
Last Update Date: 09/01/2021

Medicare PECOS Information:

PECOS PAC ID: 8325478514
Enrollment ID: I20200501001155

Medical Identifiers

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

Identifier	Type	State	Issuer
1932738150	NPI	-	NPPES
1037625810001	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	SP016649 (Pennsylvania)	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. Kathleen Glenn allows following entities to bill medicare on her behalf.

Entity Name	Wellspan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815

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. Kathleen 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
Kathleen Glenn, CRNP 3421 Concord Rd, York, PA 17402-9001 Ph: (717) 851-2613	Kathleen Glenn, CRNP 252 S 4th St, Lebanon, PA 17042-6111 Ph: (717) 851-2613

Reviews and Comments

Pediatrics Doctors in Lebanon, PA

Dr. Katherine Grace Mulligan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621
Leona Ewing, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 850 Tuck St, Lebanon, PA 17042 Phone: 717-273-5803 Fax: 717-272-8422
Danielle Elaine Macas-senn, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 618 Cornwall Rd Ste 2, Lebanon, PA 17042 Phone: 717-279-6700 Fax: 717-279-6759
Dr. Gene P Otto Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1570 Cornwall Rd, Lebanon, PA 17042 Phone: 717-273-4681 Fax: 717-273-0946
Dr. Sreenath R Joshi, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 618 Cornwall Rd, Wellspan Good Samaritan Pediatrics, Lebanon, PA 17042 Phone: 717-279-6700
Dr. Diana M Delgado, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Church St, Lebanon, PA 17046 Phone: 717-272-2700
Amy Stefanski, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621

Kathleen Glenn, CRNP - Medicare Pediatrics in Lebanon, PA