Dr Glen Gormezano, MD in Oakland, CA - Medicare Anesthesiology

Dr Glen Gormezano, MD is a medicare enrolled "Anesthesiology" physician in Oakland, California. His current practice location is 3875 Telegraph Ave, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 547-2244.

Dr Glen Gormezano is licensed to practice in California (license number G58609) 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 1225121189.

Contact Information

	Dr Glen Gormezano, MD
	3875 Telegraph Ave, Oakland, CA 94609-2428
	(510) 547-2244
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Glen Gormezano
Gender	Male
Speciality	Anesthesiology
Location	3875 Telegraph Ave, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225121189
Provider Enumeration Date: 10/02/2006
Last Update Date: 09/25/2019

Medicare PECOS Information:

PECOS PAC ID: 2567524515
Enrollment ID: I20081229000406

Medical Identifiers

Medical identifiers for Dr Glen Gormezano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225121189	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	G58609 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Glen Gormezano allows following entities to bill medicare on his behalf.

Entity Name	Ambulatory Consultants Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437178563 PECOS PAC ID: 0446299184 Enrollment ID: O20050502000809

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 Glen Gormezano 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
Dr Glen Gormezano, MD Po Box 398398, San Francisco, CA 94139-8398 Ph: (888) 991-1101	Dr Glen Gormezano, MD 3875 Telegraph Ave, Oakland, CA 94609-2428 Ph: (510) 547-2244

Reviews and Comments

Anesthesiology Doctors in Oakland, CA

Therese M. Hickey, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000
Tobechi Okoronkwo, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1411 E 31st St, A2 Room 18, Oakland, CA 94602 Phone: 510-535-7618
Dr. David P. Redlin, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000
Dr. Richard Glaser, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3875 Telegraph Ave, Oakland, CA 94609 Phone: 510-547-2244
Dr. Stephen Cooper, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 350 Hawthorne Ave, Oakland, CA 94609 Phone: 510-655-4000 Fax: 510-869-8906
Dr. Brian Hite, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3875 Telegraph Ave, Oakland, CA 94609 Phone: 510-547-2244 Fax: 415-383-7142
Margaret Elizabeth Galloway, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238

Dr Glen Gormezano, MD - Medicare Anesthesiology in Oakland, CA