| Mark S Glazer, MD | |
|
2000 E Layton Ave, St Francis, WI 53235-6053 | |
| (414) 744-6589 | |
| (414) 747-8848 |
| Full Name | Mark S Glazer |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 37 Years |
| Location | 2000 E Layton Ave, St Francis, Wisconsin |
| 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 |
|---|---|---|---|
| 1396823878 | NPI | - | NPPES |
| 32230900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 37775 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Las Palmas Medical Center | El paso, TX | Hospital |
| Memorial Medical Center | Las cruces, NM | Hospital |
| El Camino Hospital | Mountain view, CA | Hospital |
| Paris Regional Medical Center | Paris, TX | Hospital |
| Sunrise Hospital And Medical Center | Las vegas, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Specialists Ltd Marasso-miller | 0143110874 | 84 |
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| Sonoran Radiology Ltd | 3375964505 | 386 |
| Connecticut Imaging Partners Llc | 4183649098 | 71 |
| Mountain Radiology Inc | 4688666761 | 69 |
| Imaging Associates Of New Mexico Llc | 4981970233 | 112 |
| Silicon Valley Diagnostic Imaging Inc | 5496838518 | 70 |
| Singleton Associates Pa | 6305731118 | 635 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Lakeshore Medical Clinic Llc | 7719890730 | 325 |
| Jefferson Radiology Pc | 8729982525 | 97 |
| Eagle Partners Pllc | 9032205752 | 115 |
| Connecticut Imaging Partners Llc | 4183649098 | 71 |
| Mountain Radiology Inc | 4688666761 | 69 |
| Imaging Associates Of New Mexico Llc | 4981970233 | 112 |
| Singleton Associates Pa | 6305731118 | 635 |
| Eagle Partners Pllc | 9032205752 | 115 |
| Connecticut Imaging Partners Llc | 4183649098 | 71 |
| Jefferson Radiology Pc | 8729982525 | 97 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Entity Name | Silicon Valley Diagnostic Imaging Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629265806 PECOS PAC ID: 5496838518 Enrollment ID: O20171121002441 |
| Entity Name | Ellis Bandt Birkin Kollins & Wong Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578584678 PECOS PAC ID: 4486568946 Enrollment ID: O20180102001010 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20200512003606 |
| Entity Name | Radiology Specialists Ltd Marasso-miller |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437196979 PECOS PAC ID: 0143110874 Enrollment ID: O20200619002014 |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20201105000714 |
| Entity Name | Imaging Associates Of New Mexico Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629592464 PECOS PAC ID: 4981970233 Enrollment ID: O20201118002482 |
| Entity Name | Mountain Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093823742 PECOS PAC ID: 4688666761 Enrollment ID: O20210506002060 |
| Entity Name | Associated Valley Radiologists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932683257 PECOS PAC ID: 8325388499 Enrollment ID: O20220729001836 |
| Entity Name | Eagle Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548450976 PECOS PAC ID: 9032205752 Enrollment ID: O20241104003075 |
| Entity Name | Tic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457702813 PECOS PAC ID: 4880972819 Enrollment ID: O20241105002180 |
| Entity Name | Jefferson Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795951 PECOS PAC ID: 8729982525 Enrollment ID: O20241202000602 |
| Entity Name | Connecticut Imaging Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740315761 PECOS PAC ID: 4183649098 Enrollment ID: O20250108001222 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S Glazer, MD Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Mark S Glazer, MD 2000 E Layton Ave, St Francis, WI 53235-6053 Ph: (414) 744-6589 |
Edward St Ville, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 | |
Rick G Thyes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 | |
Dr. Brian E Lundeen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 | |
Dr. Ryan Thomas Hilbelink, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 | |
Mack Karnes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 | |
Dr. Supriya Sharma, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 | |
David H Hinke, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 |