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GLENN ANDREW MAHONEY PAC
NPI 1841263365
Physician Assistant - Medical in Lake Stevens, WA

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
8910 VERNON ROAD, LAKE STEVENS, WA 98258(425) 335-0966(425) 335-5145 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glenn Andrew Mahoney Pac NPPES

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

GLENN ANDREW MAHONEY PAC (NPI 1841263365) is an individual medical provider in Lake Stevens, Washington, licensed in Georgia (12451) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1841263365
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameGLENN ANDREW MAHONEYCredential: PAC
Location Address8910 VERNON ROADLake Stevens, WA 98258
Mailing Address3901 Hoyt AvenueEverett, WA 98201 · (425) 339-5462
Phone(425) 335-0966
Fax(425) 335-5145
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 8, 2006
Last NPPES UpdateSeptember 17, 2024
NPPES CertifiedSeptember 17, 2024
✔ NPI 1841263365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in GA · 12451✔ Licensed in NV · PAC942✔ Licensed in WA · PA60042438
8910 VERNON ROAD, Lake Stevens, WA 98258
Open in Google Maps ↗

Other Identifiers 2

Medicaid100507753NV
Medicaid100507754NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Glenn Andrew Mahoney Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173545076
PECOS Enrollment IDI20241115003534
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
54 services53 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
34 services34 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Other Providers at the Same Location NPPES

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

OPTUM CARE WASHINGTON PLLC
Durable Medical Equipment & Medical Supplies
8910 VERNON ROAD
LAKE STEVENS, WA 98258
Snohomish County (425) 335-0966

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 Mahoney's NPI number?

The NPI number for Glenn Mahoney is 1841263365. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Glenn Mahoney located?

Glenn Mahoney practices at 8910 Vernon Road, Lake Stevens, WA 98258. The listed phone number is (425) 335-0966.

What is Glenn Mahoney's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Glenn Mahoney enrolled in Medicare?

Yes. Glenn Mahoney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Glenn Mahoney accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Glenn Mahoney 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.

Is Glenn Mahoney affiliated with any hospitals?

According to CMS data, Glenn Mahoney is affiliated with Emory Decatur Hospital and Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Glenn Mahoney was last updated on September 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.