| Glenn Matthew Chertow, MD | |
|
300 Pasteur Dr, Stanford, CA 94305-2200 | |
| (650) 723-4000 | |
| Not Available |
| Full Name | Glenn Matthew Chertow |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 36 Years |
| Location | 300 Pasteur Dr, Stanford, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407823875 | NPI | - | NPPES |
| 00G846010 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G84601 (California) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | G84601 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Redwood City Dialysis Center | Redwood city, CA | Dialysis facility |
| Satellite Dialysis San Mateo | San mateo, CA | Dialysis facility |
| San Pablo Dialysis Center | San pablo, CA | Dialysis facility |
| Davita Mills Dialysis | San mateo, CA | Dialysis facility |
| Stanford Health Care | Stanford, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stanford Health Care | 6709797491 | 2771 |
| Entity Name | Stanford Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Matthew Chertow, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000 | Glenn Matthew Chertow, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000 |
Prista Charuworn, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Alway Build M211, Mc 5187, Stanford, CA 94305 Phone: 650-723-6661 | |
Yu Kuang Lai, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Andrea Lorenze, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Drive, Lane 154, Stanford, CA 94305 Phone: 650-723-6661 Fax: 650-498-6205 | |
Audra Horomanski, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 Fax: 650-498-6205 | |
Meghan Brady Marmor, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Lauren Michelle Ulsh, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Savannah Karmen-tuohy, MD Nephrology Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 |