| Jonathan Glaze, MD | |
|
1068 Cresthaven Rd Ste 400, Memphis, TN 38119-0845 | |
| (901) 448-6650 | |
| (901) 302-2486 |
| Full Name | Jonathan Glaze |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1068 Cresthaven Rd Ste 400, Memphis, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821551714 | NPI | - | NPPES |
| Q083201 | Medicaid | TN | |
| 200005320 | Medicaid | MS | |
| 305271001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 68334 (Tennessee) | Primary |
| Entity Name | Wesley & Klippenstein Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023025475 PECOS PAC ID: 0840273900 Enrollment ID: O20040824001189 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Glaze, MD 1407 Union Ave Ste 700, Memphis, TN 38104-3641 Ph: (901) 448-6650 | Jonathan Glaze, MD 1068 Cresthaven Rd Ste 400, Memphis, TN 38119-0845 Ph: (901) 448-6650 |
Kathryn W Byrd, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6401 Poplar Ave, Suite 324, Memphis, TN 38119 Phone: 901-681-9600 Fax: 901-681-9608 | |
Dr. Clifford William Sims, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1407 Union Ave Ste 901, Memphis, TN 38104 Phone: 901-526-8393 Fax: 901-526-8331 | |
Priscilla April Lao, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 930 Madison Ave Ste 200, Memphis, TN 38103 Phone: 901-448-6650 Fax: 901-302-2486 | |
Dr. Daniel H Wissinger, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1203 Ridgeway Rd, Ste 201, Memphis, TN 38119 Phone: 901-761-5544 Fax: 901-761-9088 | |
Penny Asbell, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 930 Madison Ave Ste 200, Memphis, TN 38163 Phone: 901-448-6650 | |
Michele A Battles, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6401 Poplar Ave, Suite 340, Memphis, TN 38119 Phone: 901-683-5500 Fax: 901-683-2900 | |
Dr. Natalie C Kerr, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 930 Madison Ave Ste 400, Memphis, TN 38103 Phone: 901-287-7337 Fax: 901-448-1813 |