Glenn Gordon Deshaw, OD in Garland, TX - Medicare Optometrist Provider

Glenn Gordon Deshaw, OD is a medicare enrolled "Optometrist" provider in Garland, Texas. His current practice location is 2636 W Walnut St, Ste 200, Garland, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 485-0700.

Glenn Gordon Deshaw is licensed to practice in Texas (license number 2204TG) 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 1346284643.

Contact Information

	Glenn Gordon Deshaw, OD
	2636 W Walnut St, Ste 200, Garland, TX 75042-6441
	(972) 485-0700
	(972) 485-0702

Map and Direction

Healthcare Provider's Profile

Full Name	Glenn Gordon Deshaw
Gender	Male
Speciality	Optometrist
Location	2636 W Walnut St, Garland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346284643
Provider Enumeration Date: 06/16/2006
Last Update Date: 07/21/2011

Medicare PECOS Information:

PECOS PAC ID: 7315940756
Enrollment ID: I20060824000380

Medical Identifiers

Medical identifiers for Glenn Gordon Deshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346284643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2204TG (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Glenn Gordon Deshaw allows following entities to bill medicare on his behalf.

Provider Name	Glenn G Deshaw, Od Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265762363 PECOS PAC ID: 9032251574 Enrollment ID: O20100122000127

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. Glenn Gordon Deshaw 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
Glenn Gordon Deshaw, OD 2636 W Walnut St, Ste 200, Garland, TX 75042-6441 Ph: (972) 485-0700	Glenn Gordon Deshaw, OD 2636 W Walnut St, Ste 200, Garland, TX 75042-6441 Ph: (972) 485-0700

Reviews and Comments

Optometrist in Garland, TX

Dr. Michael James Stewart, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3046 Lavon Dr, Suite 130, Garland, TX 75040 Phone: 972-495-8998 Fax: 972-496-1535
Dr. Hema Girish Mistry, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2046 N Shiloh Rd, 112, Garland, TX 75044 Phone: 713-384-9513
Dr. Lorraine Carol Suder, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6850 N Shiloh Rd, Suite T, Garland, TX 75044 Phone: 972-414-0444 Fax: 972-414-5663
Dr. Mark Aaron Ruiz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1821 Old Mill Run, Garland, TX 75042 Phone: 972-494-2020 Fax: 972-276-5664
Samantha N. Naidoo, Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3121 N George Bush Freeway, Suite 101, Garland, TX 75040 Phone: 214-563-2763
Dr. Reyna A Hernandez, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1138 Belt Line Rd, Ste 230, Garland, TX 75040 Phone: 972-495-3997 Fax: 972-414-0912
Aeg 8 Tx Professional, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6850 N Shiloh Rd Ste T, Garland, TX 75044 Phone: 972-414-0444 Fax: 314-741-4947

Glenn Gordon Deshaw, OD - Medicare Optometrist in Garland, TX