Dr Sean Christopher Glasgow, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Johnson City, Tennessee. His current practice location is
325 N State Of Franklin Rd Fl 3, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 439-7201.
Dr Sean Christopher Glasgow is licensed to practice in Tennessee (license number 75237) 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 1104912856.
Physician's Profile
| Full Name | Dr Sean Christopher Glasgow |
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| Gender | Male |
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| Speciality | Colon & Rectal Surgery |
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| Location | 325 N State Of Franklin Rd Fl 3, Johnson City, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104912856
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 02/04/2026
Medicare PECOS Information:
- PECOS PAC ID: 7416095534
- Enrollment ID: I20131030000324
Medical Identifiers
Medical identifiers for Dr Sean Christopher Glasgow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104912856 | NPI | - | NPPES |
| 200007826 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 75237 (Tennessee) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 2003029889 (Missouri) | Secondary |
| 208600000X | Surgery | 2003029889 (Missouri) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 75237 (Tennessee) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sean Christopher Glasgow allows following entities to bill medicare on his behalf.
| Entity Name | Washington University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134169568
PECOS PAC ID: 9830008770
Enrollment ID: O20040317000959 |
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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 Sean Christopher Glasgow 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 |
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Dr Sean Christopher Glasgow, MD
Po Box 699,
Mountain Home, TN 37684-0699
Ph: () - | Dr Sean Christopher Glasgow, MD
325 N State Of Franklin Rd Fl 3,
Johnson City, TN 37604-6171
Ph: (423) 439-7201 |
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