Ms Autumn Whitney Glenn, PA-C in Colorado Springs, CO

Ms Autumn Whitney Glenn, PA-C is a medicare enrolled "Physician Assistant" in Colorado Springs, Colorado. Her current practice location is 2875 International Cir, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 389-0070.

Ms Autumn Whitney Glenn is licensed to practice in Colorado (license number PA.0007379) 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 1548999147.

Contact Information

	Ms Autumn Whitney Glenn, PA-C
	2875 International Cir, Colorado Springs, CO 80910-3144
	(719) 389-0070
	(719) 389-0071

Map and Direction

Provider's Profile

Full Name	Ms Autumn Whitney Glenn
Gender	Female
Speciality	Physician Assistant
Location	2875 International Cir, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548999147
Provider Enumeration Date: 06/08/2022
Last Update Date: 01/28/2023

Medicare PECOS Information:

PECOS PAC ID: 0446629083
Enrollment ID: I20221203000361

Medical Identifiers

Medical identifiers for Ms Autumn Whitney Glenn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548999147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA.0007379 (Colorado)	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. Ms Autumn Whitney Glenn 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
Ms Autumn Whitney Glenn, PA-C 2875 International Cir, Colorado Springs, CO 80910-3144 Ph: (719) 389-0070	Ms Autumn Whitney Glenn, PA-C 2875 International Cir, Colorado Springs, CO 80910-3144 Ph: (719) 389-0070

Reviews and Comments

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Ms Autumn Whitney Glenn, PA-C - Medicare Physician Assistant in Colorado Springs, CO