| Olivia Glidden, | |
|
200 W 57th St Ste 307, New York, NY 10019-3211 | |
| (917) 410-6905 | |
| (646) 878-6095 |
| Full Name | Olivia Glidden |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 200 W 57th St Ste 307, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750880589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601008533 (Michigan) | Primary |
| Entity Name | Iha Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
| Entity Name | Hometown Urgent Care of Michigan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790030385 PECOS PAC ID: 8123270840 Enrollment ID: O20121204000095 |
| Entity Name | Amd Urgent Medical Care, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184968679 PECOS PAC ID: 6608021738 Enrollment ID: O20130221000266 |
| Entity Name | Ppsmg Urgent Medical Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750704680 PECOS PAC ID: 9234362005 Enrollment ID: O20140501000412 |
| Entity Name | MD Enterprises PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598217853 PECOS PAC ID: 8729363445 Enrollment ID: O20170321000784 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Glidden, 200 W 57th St Ste 307, New York, NY 10019-3211 Ph: (917) 410-6905 | Olivia Glidden, 200 W 57th St Ste 307, New York, NY 10019-3211 Ph: (917) 410-6905 |
Mr. Martin Haynes Nicol Sr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2367-69 2nd Ave, New York, NY 10035 Phone: 212-876-2300 Fax: 212-369-8209 |
Mrs. Rachel T. Freeman, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 160 E 53rd St, 3rd Floor, New York, NY 10022 Phone: 212-610-0067 |
Geraldine Deguzman-javier, RPAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16th St. And 1st Ave., New York, NY 10003 Phone: 212-420-2121 |
Allison C. Santhouse, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 710, New York, NY 10022 Phone: 212-750-8900 Fax: 908-281-7796 |
Sarah E. Mccord, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 535 E 70th St, New York, NY 10021 Phone: 212-606-1585 Fax: 917-260-3185 |
Miss Sharona Deborah Kashimallak, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 462 1st Ave, New York, NY 10016 Phone: 516-578-9951 |
Rena Dymersky, RPA-C, MS Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Gustave L Levy Pl, New York, NY 10029 Phone: 212-241-6500 |