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MARY A GLENN M.D.
NPI 1790845949
Pediatrics in Groton, CT

Active since December 11, 2006PECOS Enrolled
495 GOLD STAR HWY, SUITE 120, GROTON, CT 06340(860) 449-8882(860) 449-9195 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary A Glenn M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY A GLENN M.D. (NPI 1790845949) is an individual pediatrics provider in Groton, Connecticut, licensed in Connecticut (032910) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790845949
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARY A GLENNCredential: M.D.
Location Address495 GOLD STAR HWY, SUITE 120Groton, CT 06340-6228
Mailing Address495 Gold Star Hwy, Suite 120Groton, CT 06340-6228 · (860) 449-8882 · Fax (860) 449-9195
Phone(860) 449-8882
Fax(860) 449-9195
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790845949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 032910
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

495 GOLD STAR HWY, Groton, CT 06340
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Other Names 1

Other Name (5)Mary Angela Glenn

Other Identifiers 7

Other2V6459Health Net
Other4351240Aetna
OtherP766722Oxford
Other329100Connecticare
Other010032910CT-04Blue Cross Blue Shield
Other08211695-009Cigna
Medicare UPINF72417

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary A Glenn M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06340 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHAYLA MARIE MICHEL LMFT
Marriage & Family Therapist
495 GOLD STAR HWY
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 861-1453
STEVEN BRUCE CARLOW M.D.
Orthopaedic Surgery
495 GOLD STAR HWY, SUITE 300
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 449-1413
GOLD STAR PEDIATRICS LLC
Pediatrics
495 GOLD STAR HWY, STE 495
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 449-8882
MICHAEL E BLEFELD M.D.
Pediatrics
495 GOLD STAR HWY, SUITE 120
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 449-8882
ANNA-MARIE L MELCHREIT M.D.
Pediatrics
495 GOLD STAR HWY, SUITE 120
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 449-8882
MR. FREDERICK WILLIAM BERGGREN JR. PTA, ATC
Physical Therapy Assistant
495 GOLD STAR HWY, SUITE112
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 446-8254
DR. DANTE E GULINO JR. DDS., MD.
Dentist (Oral and Maxillofacial Surgery)
495 GOLD STAR HWY, SUITE 205
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 449-1023
ERIC R. WOLF, M.D., P.C.
Dermatology
495 GOLD STAR HWY, SUITE 108
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 449-9090

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 Mary Glenn's NPI number?

The NPI number for Mary Glenn is 1790845949. It was assigned to this individual provider in the NPPES registry on December 11, 2006. The provider is also known as Mary Angela Glenn.

Where is Mary Glenn located?

Mary Glenn practices at 495 Gold Star Hwy Suite 120, Groton, CT 06340. The listed phone number is (860) 449-8882.

What is Mary Glenn's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Glenn enrolled in Medicare?

Yes. Mary Glenn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Glenn was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.