| Jonathan Michael Glanzman, MD | |
|
593 Eddy St, Providence, RI 02903-4923 | |
| (401) 444-8311 | |
| Not Available |
| Full Name | Jonathan Michael Glanzman |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 19 Years |
| Location | 593 Eddy St, Providence, Rhode Island |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649533175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 258959 (Massachusetts) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | MD20722 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brown University Health Morton Hospital | Taunton, MA | Hospital |
| Rhode Island Hospital | Providence, RI | Hospital |
| Umass Memorial Medical Center Inc | Worcester, MA | Hospital |
| Brown University Health Saint Anne's Hospital | Fall river, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern New England Regional Cancer Center, Llc | 8820049752 | 6 |
| Roger Williams Radiation Therapy Llc | 3476658188 | 6 |
| Lifespan Physician Group Inc | 2567455082 | 1151 |
| Lifespan Physician Group Of Massachusetts Inc | 3870020399 | 458 |
| Entity Name | Southern New England Regional Cancer Center, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134109697 PECOS PAC ID: 8820049752 Enrollment ID: O20050208000494 |
| Entity Name | Rhode Island Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396849782 PECOS PAC ID: 8921900044 Enrollment ID: O20050211000311 |
| Entity Name | Roger Williams Radiation Therapy LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013078450 PECOS PAC ID: 3476658188 Enrollment ID: O20070424000663 |
| Entity Name | Radiosurgery Center of Rhode Island LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578726261 PECOS PAC ID: 0345393559 Enrollment ID: O20090806000017 |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Michael Glanzman, MD 15 La Salle Sq, Providence, RI 02903-1814 Ph: (401) 444-6779 | Jonathan Michael Glanzman, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-8311 |
Kara Lynne Leonard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Rih Radiation Oncology, Providence, RI 02903 Phone: 401-444-8311 Fax: 401-444-5335 |
Dr. Afshin Ameri, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5174 |
Paul S Rava, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8311 |
Earle O Assanah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5174 |
Glenn A Tung, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4000 |
Dr. Grace Ann Hewett, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5174 |
Dr. John Charles Mach, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-432-2500 |