| Kenneth J Glazier, MD | |
| 
					21 Highland Ave, Suite 16, Newburyport, MA 01950-3872  | |
| (978) 462-7555 | |
| (978) 462-9049 | 
| Full Name | Kenneth J Glazier | 
|---|---|
| Gender | Male | 
| Speciality | Orthopaedic Surgery | 
| Location | 21 Highland Ave, Newburyport, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841274875 | NPI | - | NPPES | 
| 6185878 | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 48108 (Massachusetts) | Primary | 
| Entity Name | Seacoast Orthopedic Assoc Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366462616 PECOS PAC ID: 1557491040 Enrollment ID: O20100609000846  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kenneth J Glazier, MD 21 Highland Ave, Suite 16, Newburyport, MA 01950-3872 Ph: (978) 462-7555  | Kenneth J Glazier, MD 21 Highland Ave, Suite 16, Newburyport, MA 01950-3872 Ph: (978) 462-7555  | 
Marci Ann Williams, OTC Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 21 Highland Ave Ste 16, Newburyport, MA 01950 Phone: 978-462-7555  | |
Dr. Andrew Banos, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 21 Highland Ave Ste 16, Newburyport, MA 01950 Phone: 978-499-4254  | |
Dr. Paul S. Chang, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 21 Highland Ave, Suite 16, Newburyport, MA 01950 Phone: 978-462-7555 Fax: 978-462-9049  | |
Dr. John David Trask, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 21 Highland Ave Ste 16, Newburyport, MA 01950 Phone: 978-462-7555 Fax: 978-462-9049  | |
James J Ford, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 21 Highland Ave, Suite 16, Newburyport, MA 01950 Phone: 978-462-7555 Fax: 978-462-9049  | |
Stella J Lee, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 21 Highland Ave Ste 16, Newburyport, MA 01950 Phone: 978-462-7555 Fax: 978-462-9049  |