Mr Glenn David Visconti Jr, PA-C in Astoria, NY

Mr Glenn David Visconti Jr, PA-C is a medicare enrolled "Physician Assistant" in Astoria, New York. His current practice location is 2638 21st St, Apt 5j, Astoria, New York. You can reach out to his office (for appointments etc.) via phone at (845) 857-4128.

Mr Glenn David Visconti Jr is licensed to practice in New York (license number 020281) 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 1467903948.

Contact Information

	Mr Glenn David Visconti Jr, PA-C
	2638 21st St, Apt 5j, Astoria, NY 11102-3651
	(845) 857-4128
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Glenn David Visconti Jr
Gender	Male
Speciality	Physician Assistant
Location	2638 21st St, Astoria, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467903948
Provider Enumeration Date: 10/19/2016
Last Update Date: 10/19/2016

Medicare PECOS Information:

PECOS PAC ID: 9931486917
Enrollment ID: I20170428001185

Medical Identifiers

Medical identifiers for Mr Glenn David Visconti Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467903948	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	020281 (New York)	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 Glenn David Visconti Jr 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
Mr Glenn David Visconti Jr, PA-C 26-38 21 St, Apt 5j, Astoria, NY 11102 Ph: (845) 857-4128	Mr Glenn David Visconti Jr, PA-C 2638 21st St, Apt 5j, Astoria, NY 11102-3651 Ph: (845) 857-4128

Reviews and Comments

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Mr Glenn David Visconti Jr, PA-C - Medicare Physician Assistant in Astoria, NY