Look up the most recent NPI and PECOS records

Grace Glass

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

4350 Us 421 S, Lillington, NC 27546-6760

PECOS Enrollment

Based on the most recent information from CMS, provider Grace Glass is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1073102760
Provider Type
Individual
Full Name
Glass, Grace
Gender
Female

Sole Proprietor
No
Enumeration Date
1/16/2021
Last Updated
12/24/2024

Contact Information

Practice Location

4350 Us 421 S, Lillington, NC 27546-6760

(910) 893-1210

Unlisted Fax

Mailing Location

2231 Marquee Ln, Fuquay Varina, NC 27526-3208

(678) 826-6103

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-11587 North Carolina

Grace Glass

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kane, Jordan

Goodwin, Johanna Rennhack

Rowan, Sydney

Bernardo-Pollock, Leny Vanessa

Jones, Maggie

Groce, Christopher Fraser

Young, Rebecca Klein

Moody, Sara

Eaton, Karley

Reynolds, Abigail Mary Ann