Melanie Elaine Glennon, CRNP in Erie, PA - Medicare Nurse Practitioner

Melanie Elaine Glennon, CRNP is a medicare enrolled "Nurse Practitioner" in Erie, Pennsylvania. Her current practice location is 1910 Sassafras St, Suite 200, Erie, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 452-7879.

Melanie Elaine Glennon is licensed to practice in Pennsylvania (license number SP012408) 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 1104175660.

Contact Information

	Melanie Elaine Glennon, CRNP
	1910 Sassafras St, Suite 200, Erie, PA 16502-2716
	(814) 452-7879
	(814) 455-2628

Map and Direction

Provider's Profile

Full Name	Melanie Elaine Glennon
Gender	Female
Speciality	Nurse Practitioner
Location	1910 Sassafras St, Erie, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104175660
Provider Enumeration Date: 08/30/2012
Last Update Date: 05/05/2014

Medicare PECOS Information:

PECOS PAC ID: 5193976280
Enrollment ID: I20121120000192

Medical Identifiers

Medical identifiers for Melanie Elaine Glennon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104175660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP012408 (Pennsylvania)	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. Melanie Elaine Glennon allows following entities to bill medicare on her behalf.

Entity Name	St Vincent Medical Education And Research Institute Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902881477 PECOS PAC ID: 3870405137 Enrollment ID: O20031104000576

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. Melanie Elaine Glennon 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
Melanie Elaine Glennon, CRNP 1910 Sassafras St, Suite 200, Erie, PA 16502-2716 Ph: (814) 452-7879	Melanie Elaine Glennon, CRNP 1910 Sassafras St, Suite 200, Erie, PA 16502-2716 Ph: (814) 452-7879

Reviews and Comments

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Melanie Elaine Glennon, CRNP - Medicare Nurse Practitioner in Erie, PA