Glenn Andrew Mahoney, PAC
Glenn Andrew Mahoney, PAC is a Physician Assistant in Lake Stevens, Washington. Qualified in 2005, 21 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in Georgia, Nevada and Washington.
- Years since qualifying
- 21
- Licensed in
- GA, NV, WA
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
8910 Vernon RdLake Stevens, WA 98258
Phone: (425) 335-0966
Fax: (425) 335-5145
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 12451 (GA) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PAC942 (NV) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA60042438 (WA) |
Record details
| NPI number | 1841263365 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | February 8, 2006 |
| Last updated in NPPES | September 17, 2024 |
| Certification date | September 17, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Cep America Llc — 985 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 93 |
|---|---|
| Services billed | 111 |
| Average patient age | 74 |
Practises at
- Emory Decatur Hospital Hospital · Decatur, GA · listed as Dekalb Medical Center, Inc
- Emory University Hospital Hospital · Atlanta, GA
- Emory Hillandale Hospital Hospital · Lithonia, GA
Colleagues at Cep America LLC
- Kip Bryne Barhaugh, MD Student in an Organized Health Care Education/Training Program · Edmonds, WA
- Dr. Henry Archibald Curtis, MD Emergency Medicine Physician · New York, NY
- Dr. Jack Douglas Dehaan, MD Emergency Medicine Physician · Grand Blanc, MI
- Arjun Dhanik, MD Emergency Medicine Physician · Boston, MA
- James Giannakakis, PA-C Physician Assistant · Decatur, GA
- Christopher Patrick Johnson, MD Emergency Medicine Physician · Richmond, VA
- Dr. Christopher Robert Kleinberg, MD Emergency Medicine Physician · Philadelphia, PA
- Alfred Liu, DO Emergency Medicine Physician · Chicago, IL
- Dr. Andrew Creighton Nelson, MD Emergency Medicine Physician · Boise, ID
- Cameron Shoraka, MD Emergency Medicine Physician · Miami, FL
- Quinton David Smith, MD Emergency Medicine Physician · Detroit, MI
- Brandon J Wilding, MD Emergency Medicine Physician · Boise, ID