| Gladys Young, MD | |
|
418 W Monroe Ave, Chester, MT 59522-0506 | |
| (406) 759-5194 | |
| Not Available |
| Full Name | Gladys Young |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 418 W Monroe Ave, Chester, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326137274 | NPI | - | NPPES |
| 0720273 | Medicaid | MT | |
| 0016014 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 4611 (Montana) | Secondary |
| 207Q00000X | Family Medicine | 4611 (Montana) | Primary |
| Entity Name | Sweet Memorial Nursing Home |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588683866 PECOS PAC ID: 2466461405 Enrollment ID: O20081125000279 |
| Entity Name | Logan Health - Shelby |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1497742415 PECOS PAC ID: 6608285192 Enrollment ID: O20210629003620 |
| Entity Name | Logan Health - Shelby |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497742415 PECOS PAC ID: 6608285192 Enrollment ID: O20220624001997 |
| Mailing Address | Practice Location Address |
|---|---|
| Gladys Young, MD Po Box 506, Chester, MT 59522-0506 Ph: (406) 759-5194 | Gladys Young, MD 418 W Monroe Ave, Chester, MT 59522-0506 Ph: (406) 759-5194 |
Richard Kozakiewicz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 418 W Monroe Ave, Chester, MT 59522 Phone: 406-759-5194 |