Mr Glenn Michael Waguespack, MS in Shreveport, LA - Medicare Qualified Audiologist Provider

Mr Glenn Michael Waguespack, MS is a medicare enrolled "Audiologist" provider in Shreveport, Louisiana. He graduated from medical school in 1970 and has 54 years of diverse experience with area of expertise as Qualified Audiologist. He is a member of the group practice Highland Clinic, A Prof Med Corp and his current practice location is 1455 E Bert Kouns Industrial Loop, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 798-4442.

Mr Glenn Michael Waguespack is licensed to practice in Louisiana (license number 416) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255506291.

Contact Information

	Mr Glenn Michael Waguespack, MS
	1455 E Bert Kouns Industrial Loop, Shreveport, LA 71105-5634
	(318) 798-4442
	(318) 798-4439

Healthcare Provider's Profile

Full Name	Mr Glenn Michael Waguespack
Gender	Male
Speciality	Qualified Audiologist
Experience	54 Years
Location	1455 E Bert Kouns Industrial Loop, Shreveport, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Glenn Michael Waguespack graduated from medical school in 1970

NPI Data:

NPI Number: 1255506291
Provider Enumeration Date: 04/29/2008
Last Update Date: 12/11/2020

Medicare PECOS Information:

PECOS PAC ID: 5597086892
Enrollment ID: I20150611000430

Medical Identifiers

Medical identifiers for Mr Glenn Michael Waguespack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255506291	NPI	-	NPPES
1688568	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	416 (Louisiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Highland Clinic, A Prof Med Corp	3870493463	49

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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. Mr Glenn Michael Waguespack allows following entities to bill medicare on his behalf.

Provider Name	Highland Clinic, A Prof Med Corp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053315846 PECOS PAC ID: 3870493463 Enrollment ID: O20040220000551

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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. Mr Glenn Michael Waguespack 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
Mr Glenn Michael Waguespack, MS 1455 East Bert Kouns Loop, Shreveport, LA 71105-5634 Ph: (318) 798-4442	Mr Glenn Michael Waguespack, MS 1455 E Bert Kouns Industrial Loop, Shreveport, LA 71105-5634 Ph: (318) 798-4442

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Audiologist in Shreveport, LA

Allied Health Clinics Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3735 Blair Dr, Shreveport, LA 71103 Phone: 318-813-2962 Fax: 318-813-2981
Mr. Dwayne Edward Redman, M.S., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-424-6090 Fax: 318-429-5749
Leigh Anne Norman, M.S., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2530 Bert Koun Loop, Suite 131, Shreveport, LA 71118 Phone: 318-212-5488 Fax: 318-212-5403
Mrs. Jill Cooper Gaudet, M.A., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2533 Bert Kouns Industrial Loop, Suite 104, Shreveport, LA 71118 Phone: 318-518-8530 Fax: 318-688-8861
Ms. Shannon Colleen Mccole, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 7847 Youree Dr, Shreveport, LA 71105 Phone: 318-212-3960 Fax: 318-212-3907
Kimberly Renfro, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-426-0130

Mr Glenn Michael Waguespack, MS - Medicare Audiologist in Shreveport, LA

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Group Practice Association

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Experimental human monoclonal antibody shows striking benefit in patients with advanced melanoma

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Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Audiologist in Shreveport, LA