Aaron Dean Glenn, | |
26136 Us Highway 59, Fairfax, MO 64446-9105 | |
(660) 686-2211 | |
(660) 686-2618 |
Full Name | Aaron Dean Glenn |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 26136 Us Highway 59, Fairfax, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972061612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2019007056 (Missouri) | Primary |
Entity Name | Macon County Samaritan Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548215106 PECOS PAC ID: 1456261395 Enrollment ID: O20040121000179 |
Mailing Address | Practice Location Address |
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Aaron Dean Glenn, 26136 Us Highway 59, Fairfax, MO 64446-9105 Ph: (660) 686-2211 | Aaron Dean Glenn, 26136 Us Highway 59, Fairfax, MO 64446-9105 Ph: (660) 686-2211 |
Rebecca Heits, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 | |
Jessica Bowman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 | |
Ms. Allison Godchaux, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 E Main St, Fairfax, MO 64446 Phone: 660-686-2211 | |
Theresa Lee Crawford, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Hwy 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2522 | |
Katrina Renee Lock, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2618 | |
Miss Melissa Sue Masonbrink, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2618 | |
Ms. Condra M Anderson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2618 |