Gina Diane Glassford, CCC-SLP is a
Speech-language Pathologist based in Hampton, Illinois. Gina Diane Glassford is licensed to practice in Illinois (license number 146009099) and her current practice location is
206 5th St, Hampton, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 755-0693.
NPI number for Gina Diane Glassford is 1750890737 and her current mailing address is 5408 11th Avenue A, Moline, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750890737.
Healthcare Provider's Profile
Full Name | Gina Diane Glassford |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 206 5th St, Hampton, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750890737
- Provider Enumeration Date: 09/22/2017
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Gina Diane Glassford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750890737 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 146009099 (Illinois) | 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. Gina Diane Glassford 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 |
Gina Diane Glassford, CCC-SLP 5408 11th Avenue A, Moline, IL 61265-2863 Ph: (309) 781-3158 | Gina Diane Glassford, CCC-SLP 206 5th St, Hampton, IL 61256-9662 Ph: (309) 755-0693 |
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