Dr Brian Joseph Glen, DO - Medicare Pediatrics in Saint Peters, MO

Dr Brian Joseph Glen, DO is a medicare enrolled "Pediatrics" physician in Saint Peters, Missouri. His current practice location is 5301 Veterans Memorial Pkwy, Ste 104, Saint Peters, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 939-3362.

Dr Brian Joseph Glen is licensed to practice in Missouri (license number 2022026389) 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 1043779044.

Contact Information

Dr Brian Joseph Glen, DO
5301 Veterans Memorial Pkwy, Ste 104,
Saint Peters, MO 63376-2298
(636) 939-3362
(636) 939-3687



Physician's Profile

Full NameDr Brian Joseph Glen
GenderMale
SpecialityPediatrics
Location5301 Veterans Memorial Pkwy, Saint Peters, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043779044
  • Provider Enumeration Date: 03/19/2019
  • Last Update Date: 05/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5698009793
  • Enrollment ID: I20220818002881

Medical Identifiers

Medical identifiers for Dr Brian Joseph Glen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043779044NPI-NPPES
200070414MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2022026389 (Missouri)Primary

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. Dr Brian Joseph Glen allows following entities to bill medicare on his behalf.
Entity NameSsm Health Care St Louis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275586174
PECOS PAC ID: 7810800737
Enrollment ID: O20031118000393

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Entity NameSsm Cardinal Glennon Children's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174577670
PECOS PAC ID: 7012828163
Enrollment ID: O20031231000604

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Entity NameWuca - Cloverleaf Pediatrics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710375928
PECOS PAC ID: 8325350440
Enrollment ID: O20150702000987

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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. Dr Brian Joseph Glen 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 AddressPractice Location Address
Dr Brian Joseph Glen, DO
Po Box 505434,
Saint Louis, MO 63150-5434

Ph: (636) 939-3362
Dr Brian Joseph Glen, DO
5301 Veterans Memorial Pkwy, Ste 104,
Saint Peters, MO 63376-2298

Ph: (636) 939-3362

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Pediatrics Doctors in Saint Peters, MO

Dr. Lorena Buffa, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5301 Veterans Memorial Pkwy, Ste 104, Saint Peters, MO 63376
Phone: 636-939-3362    Fax: 636-939-3687
Dr. Jesse Groh, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2740 S Saint Peters Pkwy, Suite A, Saint Peters, MO 63303
Phone: 636-441-5437    
Larry A Jones, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2730 S Highway 94, Suite 202, Saint Peters, MO 63303
Phone: 636-939-4200    Fax: 636-939-4204
Dr. Joseph A Kahn, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2740 S Highway 94, Suite A, Saint Peters, MO 63303
Phone: 636-441-5437    
Dr. Brandon D. Larkin, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 112 Piper Hill Drive, Suite 9, Saint Peters, MO 63376
Phone: 636-441-3444    Fax: 636-441-9832
Dr. Robert J Lobonc, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4704 Mexico Rd, Saint Peters, MO 63376
Phone: 636-441-4144    Fax: 636-441-4112

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