Kimberly S Glynn, - Medicare Emergency Medicine in Apple Valley, MN

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Kimberly S Glynn, is a medicare enrolled "Emergency Medicine" physician in Apple Valley, Minnesota. Her current practice location is 15290 Pennock Ln, Apple Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 853-8800.

Kimberly S Glynn is licensed to practice in Minnesota (license number 48623) 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 1528090891.

Contact Information

Kimberly S Glynn,
15290 Pennock Ln,
Apple Valley, MN 55124-7163
(952) 853-8800
(952) 431-6966

Map and Direction




Physician's Profile

Full NameKimberly S Glynn
GenderFemale
SpecialityEmergency Medicine
Location15290 Pennock Ln, Apple Valley, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528090891
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 03/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9638182017
  • Enrollment ID: I20060802000076

Medical Identifiers

Medical identifiers for Kimberly S Glynn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528090891NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 48623 (Minnesota)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. Kimberly S Glynn allows following entities to bill medicare on her behalf.
Entity NameSuburban Emergency Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134173628
PECOS PAC ID: 8325950975
Enrollment ID: O20031103000223
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460

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. Kimberly S Glynn 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 AddressPractice Location Address
Kimberly S Glynn,
8170 33rd Ave S # Ms 21110q,
Minneapolis, MN 55425-4516

Ph: () -		Kimberly S Glynn,
15290 Pennock Ln,
Apple Valley, MN 55124-7163

Ph: (952) 853-8800

Reviews and Comments


Emergency Medicine Doctors in Apple Valley, MN

Patricia M Cook, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124
Phone: 952-853-8800    Fax: 952-431-6966
Lawrence Deshaw, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124
Phone: 952-853-8800    Fax: 952-431-6966
Keith A Allen, MBCHBBAO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 15746 Fremont Way, Apple Valley, MN 55124
Phone: 715-205-6789    
Autumn Sue Ties, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 15350 English Ave, Apple Valley, MN 55124
Phone: 952-853-8800    
Dr. Marven G Ewen, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124
Phone: 952-431-8500    Fax: 952-431-8598

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.