| Alexandria Bass Glass, DO | |
|
412 E Johnson St, Clinton, NC 28328-2806 | |
| (910) 490-1240 | |
| (910) 490-1260 |
| Full Name | Alexandria Bass Glass |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 11 Years |
| Location | 412 E Johnson St, Clinton, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174916365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 78561 (Georgia) | Secondary |
| 207N00000X | Dermatology | 078561 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Glass Dermatology Pllc | 6608270632 | 3 |
| Entity Name | Glass Dermatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184299034 PECOS PAC ID: 6608270632 Enrollment ID: O20210812001037 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandria Bass Glass, DO 412 E Johnson St, Clinton, NC 28328-2806 Ph: (910) 490-1240 | Alexandria Bass Glass, DO 412 E Johnson St, Clinton, NC 28328-2806 Ph: (910) 490-1240 |
Luke Maxfield, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 607 Beaman St, Clinton, NC 28328 Phone: 910-596-5421 Fax: 412-712-8567 | |
John Peeler Surratt, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 804 Coharie Dr, Clinton, NC 28328 Phone: 910-592-5583 Fax: 910-592-7310 | |
Muneeb Shah, DO Dermatology Medicare: Medicare Enrolled Practice Location: 607 Beaman St, Clinton, NC 28328 Phone: 910-596-5421 | |
Dr. Kayd James Pulsipher, DO Dermatology Medicare: May Accept Medicare Assignments Practice Location: 607 Beaman St, Clinton, NC 28328 Phone: 910-592-8511 |