Individual ProviderSamantha McgloneEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address9888 Genesee Ave, La Jolla, CA 92037-1205(858) 626-4123PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Mcglone is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1679927859Provider TypeIndividualFull NameMcglone, SamanthaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/14/2016Last Updated4/19/2022Contact InformationPractice LocationPractice Address9888 Genesee Ave, La Jolla, CA 92037-1205Phone(858) 626-4123FaxUnlisted FaxMailing LocationMailing Address9888 Genesee Ave, La Jolla, CA 92037-1205Phone(858) 626-4123FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseA151795California