Mr Glen Ross Pettenger, PA-C - Physician Assistant in Centerville, TX

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Mr Glen Ross Pettenger, PA-C is a Physician Assistant - Medical based in Centerville, Texas. Mr Glen Ross Pettenger is licensed to practice in Texas (license number PA00952) and his current practice location is 102 West Main Street, Centerville, Texas. He can be reached at his office (for appointments etc.) via phone at (903) 536-2313.

NPI number for Mr Glen Ross Pettenger is 1801910609 and his current mailing address is 8148 Fm 1511, Oakwood, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801910609.

Contact Information

Mr Glen Ross Pettenger, PA-C
102 West Main Street,
Centerville, TX 75833
(903) 536-2313
(903) 536-2207

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Provider's Profile

Full NameMr Glen Ross Pettenger
GenderMale
SpecialityPhysician Assistant - Medical
Location102 West Main Street, Centerville, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1801910609
  • Provider Enumeration Date: 03/19/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Glen Ross Pettenger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801910609NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA00952 (Texas)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 Glen Ross Pettenger 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 AddressPractice Location Address
Mr Glen Ross Pettenger, PA-C
8148 Fm 1511,
Oakwood, TX 75855-4067

Ph: (903) 536-2810		Mr Glen Ross Pettenger, PA-C
102 West Main Street,
Centerville, TX 75833

Ph: (903) 536-2313

Reviews and Comments


Physician Assistant Nurses in Centerville, TX

Shirley Jeanne Baker, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 623 W Lassater, Centerville, TX 75833
Phone: 903-289-1070    Fax: 936-744-1419

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.