Dr Glenn R Provdo, DPM in Toms River, NJ - Medicare Podiatrist Provider

Dr Glenn R Provdo, DPM is a medicare enrolled "Podiatrist" provider in Toms River, New Jersey. His current practice location is 2446 Church Rd, Suite 2c, Toms River, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 255-8637.

Dr Glenn R Provdo is licensed to practice in New Jersey (license number 25MD00149000) 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 1467574814.

Contact Information

	Dr Glenn R Provdo, DPM
	2446 Church Rd, Suite 2c, Toms River, NJ 08753-8182
	(732) 255-8637
	(609) 698-6813

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Glenn R Provdo
Gender	Male
Speciality	Podiatrist
Location	2446 Church Rd, Toms River, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467574814
Provider Enumeration Date: 04/05/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7719153543
Enrollment ID: I20111229000156

Medical Identifiers

Medical identifiers for Dr Glenn R Provdo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467574814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	25MD00149000 (New Jersey)	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. Dr Glenn R Provdo 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
Dr Glenn R Provdo, DPM 2446 Church Rd, Suite 2c, Toms River, NJ 08753-8182 Ph: (732) 255-8637	Dr Glenn R Provdo, DPM 2446 Church Rd, Suite 2c, Toms River, NJ 08753-8182 Ph: (732) 255-8637

Reviews and Comments

Podiatrist in Toms River, NJ

Boltrope Podiatry Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1163 Route 37 W Ste B2, Toms River, NJ 08755 Phone: 732-349-3039 Fax: 732-244-3890
Frederick J Rothberg, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9 Mule Rd, Toms River, NJ 08755 Phone: 732-797-1535 Fax: 732-797-1595
Richard G Saglimbene, DPM PC Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1163 Highway 37 Suite B2, Toms River, NJ 08755 Phone: 732-349-3039 Fax: 732-244-3890
Richard G Saglimbene Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1163 Route 37 W Ste B2, Toms River, NJ 08755 Phone: 732-349-3039 Fax: 732-244-3890
Kimberly Daley Dpm Llp Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 563 Lakehurst Rd, Toms River, NJ 08755 Phone: 732-859-4736 Fax: 732-292-0654
Michael J. Felicetta, Podiatrist Medicare: Medicare Enrolled Practice Location: 1178 Route 37 W, Ste 1, Toms River, NJ 08755 Phone: 732-240-5677 Fax: 732-240-0926
Dr. Bruce William Cooperman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3 Plaza Dr, Ste 11, Toms River, NJ 08757 Phone: 732-349-3400 Fax: 732-349-3403

Dr Glenn R Provdo, DPM - Medicare Podiatrist in Toms River, NJ