Mr Lucas Charles Glynn, PA-C is a medicare enrolled "Physician Assistant" in Pllymouth, Minnesota. He went to University Of Washington School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Infinite Health Collaborative Pa and his current practice location is
16800 37th Pl N, Ste 200, Pllymouth, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 520-7870.
Mr Lucas Charles Glynn is licensed to practice in Minnesota (license number 11033) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699042416.
Provider's Profile
| Full Name | Mr Lucas Charles Glynn |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 16800 37th Pl N, Pllymouth, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Lucas Charles Glynn attended and graduated from University Of Washington School Of Medicine in 2011
NPI Data:
- NPI Number: 1699042416
- Provider Enumeration Date: 11/22/2011
- Last Update Date: 07/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729255328
- Enrollment ID: I20120123000703
Medical Identifiers
Medical identifiers for Mr Lucas Charles Glynn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699042416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 11033 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Infinite Health Collaborative Pa | 1052225042 | 761 |
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 Lucas Charles Glynn 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 Lucas Charles Glynn, PA-C
4200 Dahlberg Dr Ste 300,
Golden Valley, MN 55422-4841
Ph: (952) 512-5600 | Mr Lucas Charles Glynn, PA-C
16800 37th Pl N, Ste 200,
Pllymouth, MN 55446
Ph: (763) 520-7870 |
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