Dr Glen Junior Foreman, PT, DPT, LAT, ATC - Medicare Physical Therapist in Avon, CT

Dr Glen Junior Foreman, PT, DPT, LAT, ATC is a medicare enrolled "Physical Therapist - Orthopedic" provider in Avon, Connecticut. His current practice location is 60 Market St Ste 130, Avon, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 703-8505.

Dr Glen Junior Foreman is licensed to practice in Connecticut (license number 14.013794) 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 1780121012.

Contact Information

Dr Glen Junior Foreman, PT, DPT, LAT, ATC
60 Market St Ste 130,
Avon, CT 06001-4282
(860) 703-8505
Not Available



Healthcare Provider's Profile

Full NameDr Glen Junior Foreman
GenderMale
SpecialityPhysical Therapist - Orthopedic
Location60 Market St Ste 130, Avon, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780121012
  • Provider Enumeration Date: 01/25/2017
  • Last Update Date: 04/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799158424
  • Enrollment ID: I20230228002993

Medical Identifiers

Medical identifiers for Dr Glen Junior Foreman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780121012NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251X0800XPhysical Therapist - Orthopedic 14.013794 (Connecticut)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 Glen Junior Foreman allows following entities to bill medicare on his behalf.
Provider NameIvyrehab Connecticut Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1265799365
PECOS PAC ID: 8325203649
Enrollment ID: O20120711000223

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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 Glen Junior Foreman 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 Glen Junior Foreman, PT, DPT, LAT, ATC
339 Main St,
Farmington, CT 06032-3618

Ph: (203) 988-5560
Dr Glen Junior Foreman, PT, DPT, LAT, ATC
60 Market St Ste 130,
Avon, CT 06001-4282

Ph: (860) 703-8505

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Physical Therapist in Avon, CT

Jonathan Soderquist, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 44 Dale Rd, Suite 203, Avon, CT 06001
Phone: 860-674-1713    Fax: 860-674-1848
Bernardine Lapaan,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 44 Dale Rd Ste 203, Avon, CT 06001
Phone: 860-674-1713    
Cynthia Langer, MSPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 45 E Main St, Avon, CT 06001
Phone: 860-402-7743    
Thomas Kirsch, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 44 Dale Rd Ste 203, Avon, CT 06001
Phone: 860-674-1713    
Mr. Bartlomiej Kolcz, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 44 Dale Rd Ste 203, Avon, CT 06001
Phone: 860-674-1713    
Keely Yarish, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 44 Dale Rd Ste 203, Avon, CT 06001
Phone: 860-674-1713    
Eric Horne, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 44 Dale Rd, Avon, CT 06001
Phone: 860-674-6713    Fax: 860-674-1848

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