| Jonathan K Glazer, MD | |
|
3725 11th Cir, Vero Beach, FL 32960-4804 | |
| (772) 562-0163 | |
| (772) 562-1505 |
| Full Name | Jonathan K Glazer |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 3725 11th Cir, Vero Beach, Florida |
| 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 |
|---|---|---|---|
| 1750384830 | NPI | - | NPPES |
| U3695 | Other | FL | BLUE CROSS AND BLUE SHIELD OF FLORIDA |
| 270165100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 45283 (Wisconsin) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME90452 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeview Medical Center Of Rice Lake | Rice lake, WI | Hospital |
| Marshfield Medical Center | Marshfield, WI | Hospital |
| Ascension St Clares Hospital | Weston, WI | Hospital |
| Marshfield Medical Center - Eau Claire | Eau claire, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mchs Hospitals Inc | 5698071173 | 1045 |
| Marshfield Clinic Inc | 2264345206 | 175 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Beaver Dam Community Hospitals Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20040519001426 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20110526000807 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Entity Name | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194317966 PECOS PAC ID: 9032029871 Enrollment ID: O20210409000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan K Glazer, MD 3725 11th Cir, Vero Beach, FL 32960-4804 Ph: (772) 562-0163 | Jonathan K Glazer, MD 3725 11th Cir, Vero Beach, FL 32960-4804 Ph: (772) 562-0163 |
Dr. Robert R Bisset, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3725 11th Cr, Vero Beach, FL 32960 Phone: 772-562-0163 | |
Bernadette G Ramos-cardona, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Vero Radiology, Indian River, 3725 11th Cir, Vero Beach, FL 32960 Phone: 772-562-0163 | |
Joanne Wojick Wernicki, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1485 37th St, Suite 107, Vero Beach, FL 32960 Phone: 772-569-9745 Fax: 772-567-6868 | |
Carl Tack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-563-4711 | |
Dr. John James Holmes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3725 11th Cr, Vero Beach, FL 32960 Phone: 772-562-0163 Fax: 772-567-5631 | |
Raymond Sutkowski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Dr. David M Tabriz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 |