| Jonathan Saul Glass, MD | |
|
330 Borthwick Ave Ste 303, Portsmouth, NH 03801-7109 | |
| (603) 431-5205 | |
| (603) 436-4257 |
| Full Name | Jonathan Saul Glass |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 22 Years |
| Location | 330 Borthwick Ave Ste 303, Portsmouth, New Hampshire |
| 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 |
|---|---|---|---|
| 1164622981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 0101236793 (Virginia) | Secondary |
| 207N00000X | Dermatology | 15186 (New Hampshire) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mary Hitchcock Memorial Hospital | Lebanon, NH | Hospital |
| New London Hospital | New london, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Weeks Medical Center | 2769461284 | 58 |
| Dartmouth-hitchcock Clinic | 4183537509 | 1269 |
| Mary Hitchcock Memorial Hospital | 4486561164 | 1029 |
| Entity Name | Mary Hitchcock Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258 |
| Entity Name | Dartmouth-hitchcock Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
| Entity Name | Alice Peck Day Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1003803495 PECOS PAC ID: 6103737531 Enrollment ID: O20061104000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Saul Glass, MD 801 York St, Manitowoc, WI 54220-4630 Ph: () - | Jonathan Saul Glass, MD 330 Borthwick Ave Ste 303, Portsmouth, NH 03801-7109 Ph: (603) 431-5205 |
James G. Dinulos, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 330 Borthwick Ave, Suite 303, Portsmouth, NH 03801 Phone: 603-431-5205 Fax: 603-436-4257 | |
Andrew E Werchniak, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 330 Borthwick Ave Ste 303, Seacoast Dermatology Pllc, Portsmouth, NH 03801 Phone: 603-431-5205 Fax: 603-436-4257 | |
Abel D. Jarell, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 215 Commerce Way Ste 100, Portsmouth, NH 03801 Phone: 603-441-1075 | |
Mr. Ian M Rosenthal, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 111 New Hampshire Ave Ste 3, Portsmouth, NH 03801 Phone: 603-988-0951 Fax: 603-441-3722 | |
Hagger Ali, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 330 Borthwick Ave Ste 303, Portsmouth, NH 03801 Phone: 603-431-5205 | |
Catherine Evelyn Pisano, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 155 Borthwick Ave Ste 201, Portsmouth, NH 03801 Phone: 504-914-5254 |