Kelly Leah Glick, PAC in Dickinson, ND - Medicare Physician Assistant

Kelly Leah Glick, PAC is a medicare enrolled "Physician Assistant" in Dickinson, North Dakota. Her current practice location is 2500 Fairway St, Dickinson, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 456-4200.

Kelly Leah Glick is licensed to practice in North Dakota (license number PAC0507) 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 1578817466.

Contact Information

	Kelly Leah Glick, PAC
	2500 Fairway St, Dickinson, ND 58601-2639
	(701) 456-4200
	(701) 456-4545

Map and Direction

Provider's Profile

Full Name	Kelly Leah Glick
Gender	Female
Speciality	Physician Assistant
Location	2500 Fairway St, Dickinson, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578817466
Provider Enumeration Date: 10/31/2012
Last Update Date: 03/15/2017

Medicare PECOS Information:

PECOS PAC ID: 8729232525
Enrollment ID: I20130201000357

Medical Identifiers

Medical identifiers for Kelly Leah Glick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578817466	NPI	-	NPPES
1452926	Medicaid	ND
71219	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PAC0507 (North Dakota)	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. Kelly Leah Glick 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
Kelly Leah Glick, PAC 2500 Fairway St, Dickinson, ND 58601-2639 Ph: (701) 456-4200	Kelly Leah Glick, PAC 2500 Fairway St, Dickinson, ND 58601-2639 Ph: (701) 456-4200

Reviews and Comments

Physician Assistant Nurses in Dickinson, ND

Larissa Ann Kohler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2615 Fairway St, Dickinson, ND 58601 Phone: 701-456-6000
Kelsey Violet Luce, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2500 Fairway St, Dickinson, ND 58601 Phone: 701-456-4000
Ann Coates, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1531 W Villard St, Dickinson, ND 58601 Phone: 701-225-7575
Shad W Brophy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 227 16th St W, Dickinson, ND 58601 Phone: 701-227-7900 Fax: 701-227-7985
Robert White, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 141 5th St E, Dickinson, ND 58601 Phone: 701-590-9464
Tatia Marie Call, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2615 Fairway St, Dickinson, ND 58601 Phone: 701-456-6001
Jodi Moore, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 47 8th St W, Dickinson, ND 58601 Phone: 701-456-3819 Fax: 701-456-3815

Kelly Leah Glick, PAC - Medicare Physician Assistant in Dickinson, ND