Mr Clinton Earl Glass Sr, PA is a
Physician Assistant - Medical physician based in Smyrna, Delaware. Mr Clinton Earl Glass Sr is licensed to practice in Delaware (license number C5-0000852) and his current practice location is 51 Deak Dr, Suite 1 First Fl., Smyrna, Delaware. He can be reached at his office (for appointments etc.) via phone at
(302) 653-1281.
NPI number for Mr Clinton Earl Glass Sr is 1093050098 and his current mailing address is 51 Deak Dr, Suite 1 First Fl., Smyrna, Delaware. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093050098.
Physician's Profile
Full Name | Mr Clinton Earl Glass Sr |
---|
Gender | Male |
---|
Speciality | Physician Assistant - Medical |
---|
Location | 51 Deak Dr, Smyrna, Delaware |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093050098
- Provider Enumeration Date: 12/01/2012
- Last Update Date: 12/01/2012
Medical Identifiers
Medical identifiers for Mr Clinton Earl Glass Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093050098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0000X | Family Medicine - Adolescent Medicine | C5-0000852 (Delaware) | Secondary |
363AM0700X | Physician Assistant - Medical | C5-0000852 (Delaware) | 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. Mr Clinton Earl Glass Sr 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 |
Mr Clinton Earl Glass Sr, PA 51 Deak Dr, Suite 1 First Fl., Smyrna, DE 19977-1268 Ph: (302) 653-1281 | Mr Clinton Earl Glass Sr, PA 51 Deak Dr, Suite 1 First Fl., Smyrna, DE 19977-1268 Ph: (302) 653-1281 |
Reviews and Comments