| Jennifer Glance, DO | |
|
950 S Main St Ste 3, Celina, OH 45822-2467 | |
| (419) 586-5170 | |
| (419) 586-5177 |
| Full Name | Jennifer Glance |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology - Obesity Medicine |
| Location | 950 S Main St Ste 3, Celina, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659334290 | NPI | - | NPPES |
| 1659334290 | Medicaid | MI | |
| 700G410560 | Other | MI | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 5101013945 (Michigan) | Secondary |
| 207VB0002X | Obstetrics & Gynecology - Obesity Medicine | 34008744 (Ohio) | Primary |
| Entity Name | Premier Health Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
| Entity Name | Five Rivers Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104115823 PECOS PAC ID: 9335300904 Enrollment ID: O20120409000638 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Glance, DO 1920 Clinton Ave, Saint Clair, MI 48079-5238 Ph: () - | Jennifer Glance, DO 950 S Main St Ste 3, Celina, OH 45822-2467 Ph: (419) 586-5170 |
Suhila A Noureldin, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 950 S Main St, Suite 10, Celina, OH 45822 Phone: 419-586-1118 Fax: 419-586-4300 | |
Dr. Gil J Rhee, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 950 S Main St, Suite 10, Celina, OH 45822 Phone: 419-586-1118 Fax: 419-586-4300 | |
Richard Allen Kesselring, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 950 S. Main Street, Suite 8, Celina, OH 45822 Phone: 419-586-2226 Fax: 419-584-2223 | |
Dr. David A Rosado, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 950 S Main St, Suite 6, Celina, OH 45822 Phone: 419-586-1118 Fax: 419-586-4300 | |
Robert Eric Seward, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 950 S Main St Ste 8, Celina, OH 45822 Phone: 419-586-2226 |