Mr Carl Glenn Oliver, PA is a
Physician Assistant - Medical based in Montezuma, Georgia. Mr Carl Glenn Oliver is licensed to practice in Georgia (license number 04064) and his current practice location is
502 Sumter St, Montezuma, Georgia. He can be reached at his office (for appointments etc.) via phone at
(478) 472-8178.
NPI number for Mr Carl Glenn Oliver is 1013903426 and his current mailing address is 502 Sumter St, Montezuma, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013903426.
Provider's Profile
| Full Name | Mr Carl Glenn Oliver |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 502 Sumter St, Montezuma, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013903426
- Provider Enumeration Date: 09/21/2005
- Last Update Date: 08/17/2016
Medical Identifiers
Medical identifiers for Mr Carl Glenn Oliver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013903426 | NPI | - | NPPES |
| 455252909A | Medicaid | GA | |
| 364910 | Other | GA | WELLCARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 04064 (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. Mr Carl Glenn Oliver 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 Carl Glenn Oliver, PA
502 Sumter St,
Montezuma, GA 31063-1734
Ph: (478) 472-8178 | Mr Carl Glenn Oliver, PA
502 Sumter St,
Montezuma, GA 31063-1734
Ph: (478) 472-8178 |
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