DR. GLENN S FUNG DMD
NPI 1376600205
Dentist in Vacaville, CA
About Dr. Glenn S Fung Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GLENN S FUNG DMD (NPI 1376600205) is an individual dentist in Vacaville, California, licensed in New York (055882) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Glenn S Fung Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Glenn Fung reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Polacca, AZ 86042
- Reassigned Medicare billing, Texas enrollment
- 199 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95688 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Glenn Fung's NPI number?
The NPI number for Glenn Fung is 1376600205. It was assigned to this individual provider in the NPPES registry on January 2, 2007.
Where is Glenn Fung located?
Glenn Fung practices at 885 Markham Ave, Vacaville, CA 95688. The listed phone number is (707) 448-8851.
What is Glenn Fung's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Glenn Fung enrolled in Medicare?
Yes. Glenn Fung is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Glenn Fung's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Fung reassigns Medicare benefits to Dhhs Ihs Phoenix Area (Polacca, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Glenn Fung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Glenn Fung accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Glenn Fung as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Glenn Fung was last updated on December 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Glenn S Fung, DMD · NPI 1376600205
Dentist provider in Vacaville, California. Individual provider, active in the CMS NPPES registry since January 2, 2007.
## Identity
- **NPI:** 1376600205 (Entity type: Individual)
- **Enumerated:** January 2, 2007
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 055882 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 885 MARKHAM AVE, Vacaville, CA 95688-2988
- **Phone:** (707) 448-8851
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Dhhs Ihs Phoenix Area (NPI 1356628028, Polacca, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2011
- **Other identifiers:** Other 055882 (NY); Other B39957-01 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1376600205) · Data from the CMS NPPES public registry.