Dr Glen W Fishman, DDS is a medicare enrolled "Dentist - General Practice" provider in Strasburg, Colorado. His current practice location is
55981 E Colfax Ave, Strasburg, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 632-5700.
Dr Glen W Fishman is licensed to practice in Ohio (license number 30-014225) 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 1063473718.
Healthcare Provider's Profile
Full Name | Dr Glen W Fishman |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 55981 E Colfax Ave, Strasburg, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063473718
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 04/03/2017
Medicare PECOS Information:
- PECOS PAC ID: 2466767348
- Enrollment ID: I20150821012768
Medical Identifiers
Medical identifiers for Dr Glen W Fishman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063473718 | NPI | - | NPPES |
12978345 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 30-014225 (Ohio) | 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. Dr Glen W Fishman 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 Address | Practice Location Address |
Dr Glen W Fishman, DDS 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917-5147 Ph: (719) 632-5700 | Dr Glen W Fishman, DDS 55981 E Colfax Ave, Strasburg, CO 80136-8014 Ph: (719) 632-5700 |
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