Charles C Glass, PA-C - Medicare Physician Assistant in Leavenworth, KS

Charles C Glass, PA-C is a medicare enrolled "Physician Assistant" in Leavenworth, Kansas. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Kansas Medical Clinic Pa and his current practice location is 3550 S 4th St Ste 250, Leavenworth, Kansas. You can reach out to his office (for appointments etc.) via phone at (913) 565-2569.

Charles C Glass is licensed to practice in Kansas (license number 15-01742) 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 1003219304.

Contact Information

Charles C Glass, PA-C
3550 S 4th St Ste 250,
Leavenworth, KS 66048-5061
(913) 565-2569
(913) 565-2571



Provider's Profile

Full NameCharles C Glass
GenderMale
SpecialityPhysician Assistant
Experience10 Years
Location3550 S 4th St Ste 250, Leavenworth, Kansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles C Glass graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1003219304
  • Provider Enumeration Date: 09/30/2014
  • Last Update Date: 07/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8820219306
  • Enrollment ID: I20141027001015

Medical Identifiers

Medical identifiers for Charles C Glass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003219304NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2015022139 (Missouri)Secondary
363A00000XPhysician Assistant 15-01742 (Kansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kansas Medical Clinic Pa498159233443

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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. Charles C Glass 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
Charles C Glass, PA-C
2200 Sw 6th Ave Ste 104,
Topeka, KS 66606-1707

Ph: (785) 354-8518
Charles C Glass, PA-C
3550 S 4th St Ste 250,
Leavenworth, KS 66048-5061

Ph: (913) 565-2569

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Physician Assistant Nurses in Leavenworth, KS

Jarod Joseph Marcotte, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3550 S 4th St Ste 200, Leavenworth, KS 66048
Phone: 913-680-6442    Fax: 913-351-1346
Mr. Douglas A Kaufman, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4101 S 4th St, Leavenworth, KS 66048
Phone: 913-682-2000    
Lorree Huffman, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4101 S 4th St, Leavenworth, KS 66048
Phone: 913-682-2000    Fax: 913-758-4119
Wanda Johnston, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4101 S 4th St, Leavenworth, KS 66048
Phone: 913-758-9600    
Thuy Le Petersen, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1300 Metropolitan Ave, Leavenworth, KS 66048
Phone: 913-682-8700    
Jill Marie Davis, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 500 Limit St, Leavenworth, KS 66048
Phone: 913-682-5118    Fax: 913-682-4664

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