Bhrhc Glade - Medicare Primary Care in Glade Spring, VA

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Bhrhc Glade is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Glade Spring, Virginia. The current practice location for Bhrhc Glade is 636 S Monte Vista Dr, Glade Spring, Virginia. For appointments, you can reach them via phone at (276) 429-5163. The mailing address for Bhrhc Glade is 311 Princeton Rd Ste 1, Johnson City, Tennessee and phone number is (276) 429-5163.

Bhrhc Glade is licensed to practice in Virginia (license number H1902). The clinic also participates in the medicare program and its NPI number is 1174529242. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (276) 429-5163.

Contact Information

Bhrhc Glade
636 S Monte Vista Dr
Glade Spring
VA 24340-2712
(276) 429-5163
(276) 429-5515

Map and Direction


Primary Care Clinic Profile

Full NameBhrhc Glade
SpecialityClinic/Center
Location636 S Monte Vista Dr, Glade Spring, Virginia
Authorized Official Name and PositionShane Edwin Hilton (EVP/CFO)
Authorized Official Contact4233023467
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bhrhc Glade
311 Princeton Rd Ste 1
Johnson City
TN 37601-2026

Ph: (276) 429-5163		Bhrhc Glade
636 S Monte Vista Dr
Glade Spring
VA 24340-2712

Ph: (276) 429-5163

NPI Details:

NPI Number1174529242
Provider Enumeration Date06/23/2005
Last Update Date04/16/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0446168496
Medicare Enrollment IDO20031229000522

Medical Identifiers

Medical identifiers for Bhrhc Glade such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174529242NPI-NPPES
007610131MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health H1902 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bhrhc Glade acts as a billing entity for following providers:
Provider NameDeborah Hassebrock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578819439
PECOS PAC ID: 5294984704
Enrollment ID: I20200908001695
Provider NameEmily Leidig
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841807625
PECOS PAC ID: 5193137164
Enrollment ID: I20201215003408
Provider NameEmily Leidig
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841807625
PECOS PAC ID: 5193137164
Enrollment ID: I20230412001371
Provider NameJeffrey Steven Blackwell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013544774
PECOS PAC ID: 2961826177
Enrollment ID: I20230802002747

Reviews and Comments


Clinic/Center in Glade Spring, VA

Msmg Fp Glde
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 636 S Monte Vista Dr, Glade Spring, VA 24340
Phone: 276-429-5163    Fax: 276-429-5515

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.