Mary A Glenn, MD in Groton, CT - Medicare Pediatrics

Mary A Glenn, MD is a medicare enrolled "Pediatrics" physician in Groton, Connecticut. Her current practice location is 495 Gold Star Hwy, Suite 120, Groton, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 449-8882.

Mary A Glenn is licensed to practice in Connecticut (license number 032910) 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 1790845949.

Contact Information

	Mary A Glenn, MD
	495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228
	(860) 449-8882
	(860) 449-9195

Map and Direction

Physician's Profile

Full Name	Mary A Glenn
Gender	Female
Speciality	Pediatrics
Location	495 Gold Star Hwy, Groton, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790845949
Provider Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1456522135
Enrollment ID: I20110929000571

Medical Identifiers

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

Identifier	Type	State	Issuer
1790845949	NPI	-	NPPES
001329102	Medicaid	CT
010032910CT-04	Other		BLUE CROSS BLUE SHIELD
08211695-009	Other		CIGNA
329100	Other		CONNECTICARE
4351240	Other		AETNA
2V6459	Other		HEALTH NET
P766722	Other		OXFORD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	032910 (Connecticut)	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. Mary A Glenn allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

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. Mary A 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
Mary A Glenn, MD 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228 Ph: (860) 449-8882	Mary A Glenn, MD 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228 Ph: (860) 449-8882

Reviews and Comments

Pediatrics Doctors in Groton, CT

Michael E Blefeld, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 495 Gold Star Hwy, Suite 120, Groton, CT 06340 Phone: 860-449-8882 Fax: 860-449-9195
Amy Reynolds, CRNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-2493
Anna-marie L Melchreit, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 495 Gold Star Hwy, Suite 120, Groton, CT 06340 Phone: 860-449-8882 Fax: 869-449-9195
Margaret Gross, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 495 Route 184 Ste 120, Groton, CT 06340 Phone: 860-449-8882
Carol J Fiftal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 495 Gold Star Hwy, Suite 120, Groton, CT 06340 Phone: 860-449-8882 Fax: 860-449-9195
Dr. James Joseph Fritz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Rt 12 Bldg 449, Attn Professional Affairs Naval Ambulatory Care Center, Groton, CT 06349 Phone: 860-694-2377 Fax: 860-694-2590

Mary A Glenn, MD - Medicare Pediatrics in Groton, CT