Glen S Blair, CNP - Medicare Nurse Practitioner in Wellesley, MA

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Glen S Blair, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Wellesley, Massachusetts. His current practice location is 230 Worcester St, Wellesley, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 431-5255.

Glen S Blair is licensed to practice in Massachusetts (license number RN157507) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629047873.

Contact Information

Glen S Blair, CNP
230 Worcester St,
Wellesley, MA 02481-5420
(781) 431-5255
(781) 431-5329

Map and Direction




Provider's Profile

Full NameGlen S Blair
GenderMale
SpecialityNurse Practitioner - Adult Health
Location230 Worcester St, Wellesley, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629047873
  • Provider Enumeration Date: 03/17/2006
  • Last Update Date: 11/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123033503
  • Enrollment ID: I20060207000771

Medical Identifiers

Medical identifiers for Glen S Blair such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629047873NPI-NPPES
NP2733OtherMABLUE CROSS
110018170AMedicaidMA
C318OtherMAHARVARD PILGRIM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN157507 (Massachusetts)Secondary
363LA2200XNurse Practitioner - Adult Health RN157507 (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Glen S Blair allows following entities to bill medicare on his behalf.
Entity NameNortheast Dermatology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104921162
PECOS PAC ID: 3072403799
Enrollment ID: O20040317000655
Entity NameCodman Square Health Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396808309
PECOS PAC ID: 8123013869
Enrollment ID: O20040420000859
Entity NameMassachusetts Acute Care Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306134812
PECOS PAC ID: 9234303082
Enrollment ID: O20111114000448
Entity NameMassachusetts Post Acute Medical Services 1 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699204503
PECOS PAC ID: 5890069041
Enrollment ID: O20170927000151
Entity NameMa Pacs 2 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265918791
PECOS PAC ID: 4284983628
Enrollment ID: O20180820000495

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. Glen S Blair is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Glen S Blair, CNP
637 Washington St,
Dorchester, MA 02124-3510

Ph: (617) 825-9660		Glen S Blair, CNP
230 Worcester St,
Wellesley, MA 02481-5420

Ph: (781) 431-5255

Reviews and Comments


Nurse Practitioner Nurses in Wellesley, MA

Ann N Kennefick, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 332 Washington St, Suite 380, Wellesley, MA 02481
Phone: 781-237-4194    
Ms. Jiamin Huang, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 230 Worcester St, Wellesley, MA 02481
Phone: 781-431-5400    
Jean D Horst, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 230 Worcester St, Wellesley, MA 02481
Phone: 781-431-5200    Fax: 781-431-5298
Julie S Coffey, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 65 Walnut St Ste 500, Wellesley, MA 02481
Phone: 781-431-2345    
Linda Ann Raftery, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 230 Worcester St, Wellesley, MA 02481
Phone: 781-431-5200    Fax: 781-431-5298
Susan Jo Roberts, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 230 Worcester St, Wellesley, MA 02481
Phone: 781-431-5200    Fax: 781-431-5298
Debra A Bradford, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 230 Worcester St, Wellesley, MA 02481
Phone: 781-431-5200    Fax: 781-431-5298

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.