Theodore Glaessner, MD is a
Radiology - Diagnostic Radiology physician based in Pacific Palisades, California. Theodore Glaessner is licensed to practice in California (license number CFE23343) and his current practice location is 1491 Capri Dr, Pacific Palisades, California. He can be reached at his office (for appointments etc.) via phone at
(310) 454-4243.
NPI number for Theodore Glaessner is 1699071878 and his current mailing address is 1491 Capri Dr, Pacific Palisades, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699071878.
Physician's Profile
Full Name | Theodore Glaessner |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 1491 Capri Dr, Pacific Palisades, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699071878
- Provider Enumeration Date: 02/04/2011
- Last Update Date: 02/04/2011
Medical Identifiers
Medical identifiers for Theodore Glaessner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699071878 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | CFE23343 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore Glaessner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Theodore Glaessner, MD 1491 Capri Dr, Pacific Palisades, CA 90272-2706 Ph: () - | Theodore Glaessner, MD 1491 Capri Dr, Pacific Palisades, CA 90272-2706 Ph: (310) 454-4243 |
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