Glenn Andrew Mahoney, PAC in Lake Stevens, WA - Medicare Physician Assistant

Glenn Andrew Mahoney, PAC is a medicare enrolled "Physician Assistant - Medical" in Lake Stevens, Washington. His current practice location is 8910 Vernon Road, Lake Stevens, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 335-0966.

Glenn Andrew Mahoney is licensed to practice in Georgia (license number 12451) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841263365.

Contact Information

	Glenn Andrew Mahoney, PAC
	8910 Vernon Road, Lake Stevens, WA 98258
	(425) 335-0966
	(425) 335-5145

Map and Direction

Provider's Profile

Full Name	Glenn Andrew Mahoney
Gender	Male
Speciality	Physician Assistant - Medical
Location	8910 Vernon Road, Lake Stevens, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841263365
Provider Enumeration Date: 02/08/2006
Last Update Date: 09/17/2024

Medicare PECOS Information:

PECOS PAC ID: 3173545076
Enrollment ID: I20090105000549

Medical Identifiers

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

Identifier	Type	State	Issuer
1841263365	NPI	-	NPPES
100507753	Medicaid	NV
100507754	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PAC942 (Nevada)	Secondary
363AM0700X	Physician Assistant - Medical	PA60042438 (Washington)	Secondary
363AM0700X	Physician Assistant - Medical	12451 (Georgia)	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. Glenn Andrew Mahoney 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
Glenn Andrew Mahoney, PAC 3901 Hoyt Avenue, Everett, WA 98201 Ph: (425) 339-5462	Glenn Andrew Mahoney, PAC 8910 Vernon Road, Lake Stevens, WA 98258 Ph: (425) 335-0966

Reviews and Comments

Physician Assistant Nurses in Lake Stevens, WA

Mr. Casey Alan Somers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4729 95th Ave Ne Unit A, Lake Stevens, WA 98258 Phone: 425-319-0196
Irene M Ho, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8910 Vernon Rd, Lake Stevens, WA 98258 Phone: 425-397-1700
Mr. Erik Richard Geving, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8910 Vernon Rd, Lake Stevens, WA 98258 Phone: 425-397-1761 Fax: 425-335-5145

Glenn Andrew Mahoney, PAC - Medicare Physician Assistant in Lake Stevens, WA