Robert Walter Glazewski, PA C is a medicare enrolled "Family Medicine" in Bothell, Washington. His current practice location is
1909 214th St Se Ste 300, Bothell, Washington. You can reach out to his office (for appointments etc.) via phone at
(425) 412-7200.
Robert Walter Glazewski is licensed to practice in Washington (license number PA10003728) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649218546.
Provider's Profile
| Full Name | Robert Walter Glazewski |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1909 214th St Se Ste 300, Bothell, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649218546
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 05/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 1951296102
- Enrollment ID: I20040217001068
Medical Identifiers
Medical identifiers for Robert Walter Glazewski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649218546 | NPI | - | NPPES |
| 8413GL | Other | WA | BSWA |
| 0227451 | Other | WA | LIWA |
| 8318719 | Medicaid | WA | |
| 7910GL | Other | WA | LIWA |
| 0194427 | Other | WA | LIWA |
| 7073596 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA10003728 (Washington) | Secondary |
| 363A00000X | Physician Assistant | 1039568 (Washington) | Secondary |
| 207Q00000X | Family Medicine | PA10003728 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Walter Glazewski is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Robert Walter Glazewski, PA C
Po Box 84026,
Seattle, WA 98124-8426
Ph: (206) 320-4476 | Robert Walter Glazewski, PA C
1909 214th St Se Ste 300,
Bothell, WA 98021-4418
Ph: (425) 412-7200 |
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