| Dr Glenn R Hardy, MD | |
|
510 Idlewild Ave, Easton, MD 21601-3824 | |
| (410) 820-8226 | |
| (410) 820-8405 |
| Full Name | Dr Glenn R Hardy |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 510 Idlewild Ave, Easton, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285638510 | NPI | - | NPPES |
| 333941600 | Medicaid | MD | |
| CF17-0006 | Other | MD | CAREFIRST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | D0029690 (Maryland) | Primary |
| Entity Name | Shore Orthopedics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245694520 PECOS PAC ID: 8628367885 Enrollment ID: O20160512000121 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn R Hardy, MD 510 Idlewild Ave, Ste 200, Easton, MD 21601-3883 Ph: (410) 820-8226 | Dr Glenn R Hardy, MD 510 Idlewild Ave, Easton, MD 21601-3824 Ph: (410) 820-8226 |
Jacob Cannon, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 406 Marvel Ct, Easton, MD 21601 Phone: 410-822-4613 Fax: 410-822-6534 | |
Dr. Nicholas E Anastasio, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 510 Idlewild Ave Ste 200, Easton, MD 21601 Phone: 410-820-8226 Fax: 410-820-8405 | |
Dr. William K. Smith, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 11 S Washington St Ste C, Easton, MD 21601 Phone: 410-401-5330 | |
Amanda M Fodor, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 28438 Marlboro Ave, Easton, MD 21601 Phone: 410-822-2440 | |
Dr. Jennifer Anne Baima, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 510 Idlewild Ave, Easton, MD 21601 Phone: 410-820-8226 |