| Glenn P Genest, MD | |
|
3455 Main St, Suite 5, Springfield, MA 01107-1147 | |
| (413) 733-9600 | |
| (413) 732-6534 |
| Full Name | Glenn P Genest |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 34 Years |
| Location | 3455 Main St, Springfield, Massachusetts |
| 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 |
|---|---|---|---|
| 1942208525 | NPI | - | NPPES |
| GEJ27216 | Other | MA | BLUE CROSS BLUE SHIELD |
| 219834J597 | Other | CT | CONNECTICARE |
| 34234 | Other | MA | HEALTH NEW ENGLAND |
| 468903 | Other | MA | TUFTS HEALTH PLANS |
| P00181345 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 219834 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baystate Medical Center | Springfield, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New England Dermatology Pc | 9436113677 | 19 |
| Entity Name | New England Dermatology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356348098 PECOS PAC ID: 9436113677 Enrollment ID: O20041117000172 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn P Genest, MD 3455 Main St, Suite 5, Springfield, MA 01107-1147 Ph: (413) 733-9600 | Glenn P Genest, MD 3455 Main St, Suite 5, Springfield, MA 01107-1147 Ph: (413) 733-9600 |
Michael Loosemore, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3455 Main St Ste 5, New England Dermatology & Laser Center, Springfield, MA 01107 Phone: 413-733-9600 Fax: 413-732-6534 | |
Nadine P Wenner, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3455 Main St, Ste 5, Springfield, MA 01107 Phone: 413-733-9600 Fax: 413-732-6534 | |
Sheila Mcmurrich, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3455 Main St Ste 5, New England Dermatology & Laser Center, Springfield, MA 01107 Phone: 413-733-9600 Fax: 413-732-6534 | |
David Wartman, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3455 Main St, Ste. # 5, Springfield, MA 01107 Phone: 413-733-9600 Fax: 413-732-6534 | |
Mark A Blumberg, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3455 Main St, Suite 5, Springfield, MA 01107 Phone: 413-733-9600 Fax: 413-732-6534 | |
Dr. Peter T Demos, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 125 Liberty St, Ste 403, Springfield, MA 01103 Phone: 413-739-6611 | |
Stanley F Glazer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3455 Main St, Ste 5, Springfield, MA 01107 Phone: 413-733-9600 Fax: 413-732-6534 |