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
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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 |