Dr Burt J Glazier, DO is a
General Practice physician based in Eagle, Idaho. Dr Burt J Glazier is licensed to practice in Idaho (license number 0 288) and his current practice location is 1851 W Woodvalley St, Eagle, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 939-0690.
NPI number for Dr Burt J Glazier is 1477743722 and his current mailing address is 1851 W Woodvalley St, Eagle, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477743722.
Physician's Profile
| Full Name | Dr Burt J Glazier |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 1851 W Woodvalley St, Eagle, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477743722
- Provider Enumeration Date: 08/01/2007
- Last Update Date: 11/22/2009
Medical Identifiers
Medical identifiers for Dr Burt J Glazier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477743722 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 0 288 (Idaho) | 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. Dr Burt J Glazier is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Burt J Glazier, DO
1851 W Woodvalley St,
Eagle, ID 83616-3582
Ph: (208) 939-0690 | Dr Burt J Glazier, DO
1851 W Woodvalley St,
Eagle, ID 83616-3582
Ph: (208) 939-0690 |
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