| Glenn A Mason, MD | |
|
340 Magnolia Cir Bldg 1465, Tyndall Afb, FL 32403-5604 | |
| (850) 283-7458 | |
| Not Available |
| Full Name | Glenn A Mason |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 340 Magnolia Cir Bldg 1465, Tyndall Afb, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922057025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD.019926 (Louisiana) | Primary |
| Entity Name | Red River Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902877426 PECOS PAC ID: 1355303363 Enrollment ID: O20041102000491 |
| Entity Name | Pontchartrain Diagnostic Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760734685 PECOS PAC ID: 1951552900 Enrollment ID: O20121121000465 |
| Entity Name | Shelin Agrawal And Hyer Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861783961 PECOS PAC ID: 5890955959 Enrollment ID: O20180417000338 |
| Entity Name | Medical Imaging Associates Of Idaho Falls Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740225531 PECOS PAC ID: 7618876590 Enrollment ID: O20200219001844 |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20211230000257 |
| Entity Name | Mountain Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093823742 PECOS PAC ID: 4688666761 Enrollment ID: O20230215000895 |
| Entity Name | Alaska Radiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803214 PECOS PAC ID: 0648182725 Enrollment ID: O20240118000757 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn A Mason, MD 340 Magnolia Cir Bldg 1465, Tyndall Afb, FL 32403-5604 Ph: () - | Glenn A Mason, MD 340 Magnolia Cir Bldg 1465, Tyndall Afb, FL 32403-5604 Ph: (850) 283-7458 |