| Dr Mary Glass, MD | |
|
1640 Crawfordsville Square Dr, Crawfordsville, IN 47933-3800 | |
| (765) 362-5789 | |
| (765) 362-2453 |
| Full Name | Dr Mary Glass |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 1640 Crawfordsville Square Dr, Crawfordsville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518921741 | NPI | - | NPPES |
| 200088280 | Medicaid | IN | |
| 471400001 | Other | IN | MEDICARE PROVIDER PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 01041573A (Indiana) | Secondary |
| 207R00000X | Internal Medicine | 01041573 (Indiana) | Primary |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Glass, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Mary Glass, MD 1640 Crawfordsville Square Dr, Crawfordsville, IN 47933-3800 Ph: (765) 362-5789 |
Ravinder Surakanti, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1704 Lafayette Rd, Crawfordsville, IN 47933 Phone: 765-364-1252 | |
Dr. Brett L Spencer, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1601 Lafayette Rd, Crawfordsville, IN 47933 Phone: 765-362-8210 | |
Nibal Saad, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1706 Lafayette Rd, Crawfordsville, IN 47933 Phone: 765-775-2800 Fax: 765-471-5461 | |
Satyanarayana Marri, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1630 Lafayette Rd Ste 200, Crawfordsville, IN 47933 Phone: 765-359-2230 |