Glenn Stephen Prescod, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

8767 Issued in RI

Practice address

333 School St
Suite 301
Pawtucket, RI 02860

Phone

(401) 725-3600

Fax

(401) 728-8760

NPI assigned

Mar 19, 2007

Last updated

May 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Warren Alpert Medical School of Brown University, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gprescod@kent.cernerdirect.carene.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • General Practice Physician
  • Providence, RI
  • NPI 1407116643
  Medicare reassignment NPD
• Glenn S. Prescod, M.D., M.P.H., Inc.

  • Ophthalmology Physician
  • Pawtucket, RI
  • NPI 1114271053
  NPD (past) Authorized official
• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • Emergency Medicine Physician
  • Providence, RI
  • NPI 1568325678
  NPD
• Charles C Calenda MD Inc

  dba Calenda Eyecare Center

  • Ophthalmology Physician
  • Warwick, RI
  • NPI 1861565913
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1336263102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SCHOOL ST",
            "address_2": "SUITE 301",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-725-3600",
            "fax_number": "401-728-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SCHOOL ST",
            "address_2": "SUITE 301",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-725-3600",
            "fax_number": "401-728-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESCOD",
        "first_name": "GLENN",
        "middle_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "8767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakuntala Prasad, MD
• Johnna A Pratt, LICSW
• Margaret Spinney Pratt, MSC. CCC-A
• Preferred Care Haven LLC
• Rovena Prekulaj, MSPT
• Primary Care Medical Associates, Inc
• Prime Care LLC
• Erica Renee Prino
• Priority Managment Group Inc
• Procare Physical Therapy

• Ophthalmology Physician in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Ophthalmology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.