Dr Chad Alan Glazer, MD | |
8865 W 400 N Ste 120, Michigan City, IN 46360-9011 | |
(219) 878-5031 | |
(219) 879-5498 |
Full Name | Dr Chad Alan Glazer |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 18 Years |
Location | 8865 W 400 N Ste 120, Michigan City, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609915503 | NPI | - | NPPES |
201124820 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 01071618A (Indiana) | Secondary |
207Y00000X | Otolaryngology | 01071618A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
Franciscan Health Crown Point | Crown point, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Franciscan Physician Network | 3072790682 | 983 |
Illinois Dermatology Institute Llc | 7911043054 | 48 |
Entity Name | Franciscan Physician Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Entity Name | Illinois Dermatology Institute Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891920898 PECOS PAC ID: 7911043054 Enrollment ID: O20120611000010 |
Mailing Address | Practice Location Address |
---|---|
Dr Chad Alan Glazer, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Chad Alan Glazer, MD 8865 W 400 N Ste 120, Michigan City, IN 46360-9011 Ph: (219) 878-5031 |
David Miller, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-878-5031 Fax: 219-878-5052 | |
William Rosevear, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-878-5032 Fax: 219-878-5052 | |
Matthew J Provenzano, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1225 E Coolspring Ave Ste 300, Michigan City, IN 46360 Phone: 219-878-5032 Fax: 219-861-8151 | |
David Lee Colgrove, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Suite 300, Michigan City, IN 46360 Phone: 219-878-5032 Fax: 219-861-8151 |