Dr Justin Lee Glancy, DPM is a
Student In An Organized Health Care Education/training Program based in Loma Linda, California. Dr Justin Lee Glancy is licensed to practice in * (Not Available) (license number ) and his current practice location is
11201 Benton St, Loma Linda, California. He can be reached at his office (for appointments etc.) via phone at
(909) 825-7084.
NPI number for Dr Justin Lee Glancy is 1336868066 and his current mailing address is 11201 Benton St, Loma Linda, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336868066.
Healthcare Provider's Profile
Full Name | Dr Justin Lee Glancy |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 11201 Benton St, Loma Linda, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336868066
- Provider Enumeration Date: 08/25/2022
- Last Update Date: 09/15/2022
Medical Identifiers
Medical identifiers for Dr Justin Lee Glancy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336868066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | EL7061 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Justin Lee Glancy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Justin Lee Glancy, DPM 11201 Benton St, Loma Linda, CA 92357-1000 Ph: (909) 825-7084 | Dr Justin Lee Glancy, DPM 11201 Benton St, Loma Linda, CA 92357-1000 Ph: (909) 825-7084 |
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