Kristen M Glick, PA in Bridgeport, CT - Medicare Physician Assistant

Kristen M Glick, PA is a medicare enrolled "Physician Assistant" in Bridgeport, Connecticut. Her current practice location is 267 Grant St, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 384-3693.

Kristen M Glick is licensed to practice in Connecticut (license number 2772) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760635080.

Contact Information

	Kristen M Glick, PA
	267 Grant St, Bridgeport, CT 06610-2805
	(203) 384-3693
	(203) 384-3693

Provider's Profile

Full Name	Kristen M Glick
Gender	Female
Speciality	Physician Assistant
Location	267 Grant St, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760635080
Provider Enumeration Date: 10/30/2008
Last Update Date: 08/28/2014

Medicare PECOS Information:

PECOS PAC ID: 4486718673
Enrollment ID: I20140912000125

Medical Identifiers

Medical identifiers for Kristen M Glick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760635080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	012938 (New York)	Secondary
363A00000X	Physician Assistant	2772 (Connecticut)	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. Kristen M Glick 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
Kristen M Glick, PA 267 Grant St, Bridgeport, CT 06610-2805 Ph: (203) 384-3693	Kristen M Glick, PA 267 Grant St, Bridgeport, CT 06610-2805 Ph: (203) 384-3693

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Physician Assistant Nurses in Bridgeport, CT

Mr. Alex Scott Cadan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4500 Fax: 203-384-3812
Daniel Paoletti, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000
Ms. Katie Lynn Merithew, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3199
Alan Olson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000
Margaret Parisi, PA-S Physician Assistant Medicare: Medicare Enrolled Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000
Mr. Michael Asare, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000
Brent M Reilly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, St.vincents Multispecialty Group, Bridgeport, CT 06606 Phone: 203-576-6000

Kristen M Glick, PA - Medicare Physician Assistant in Bridgeport, CT