Mr Clinton Earl Glass Sr, PA in Smyrna, DE - Physician Assistant

Mr Clinton Earl Glass Sr, PA is a Physician Assistant - Medical physician based in Smyrna, Delaware. Mr Clinton Earl Glass Sr is licensed to practice in Delaware (license number C5-0000852) and his current practice location is 51 Deak Dr, Suite 1 First Fl., Smyrna, Delaware. He can be reached at his office (for appointments etc.) via phone at (302) 653-1281.

NPI number for Mr Clinton Earl Glass Sr is 1093050098 and his current mailing address is 51 Deak Dr, Suite 1 First Fl., Smyrna, Delaware. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093050098.

Contact Information

	Mr Clinton Earl Glass Sr, PA
	51 Deak Dr, Suite 1 First Fl., Smyrna, DE 19977-1268
	(302) 653-1281
	(302) 653-1283

Physician's Profile

Full Name	Mr Clinton Earl Glass Sr
Gender	Male
Speciality	Physician Assistant - Medical
Location	51 Deak Dr, Smyrna, Delaware
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1093050098
Provider Enumeration Date: 12/01/2012
Last Update Date: 12/01/2012

Medical Identifiers

Medical identifiers for Mr Clinton Earl Glass Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093050098	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0000X	Family Medicine - Adolescent Medicine	C5-0000852 (Delaware)	Secondary
363AM0700X	Physician Assistant - Medical	C5-0000852 (Delaware)	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. Mr Clinton Earl Glass Sr 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
Mr Clinton Earl Glass Sr, PA 51 Deak Dr, Suite 1 First Fl., Smyrna, DE 19977-1268 Ph: (302) 653-1281	Mr Clinton Earl Glass Sr, PA 51 Deak Dr, Suite 1 First Fl., Smyrna, DE 19977-1268 Ph: (302) 653-1281

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Mr Clinton Earl Glass Sr, PA - Physician Assistant in Smyrna, DE