Glenn A Mason, MD | |
340 Magnolia Cir Bldg 1465, Tyndall Afb, FL 32403-5604 | |
(850) 283-7458 | |
Not Available |
Full Name | Glenn A Mason |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 340 Magnolia Cir Bldg 1465, Tyndall Afb, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922057025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD.019926 (Louisiana) | Primary |
Entity Name | Red River Consultants Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902877426 PECOS PAC ID: 1355303363 Enrollment ID: O20041102000491 |
Entity Name | Pontchartrain Diagnostic Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760734685 PECOS PAC ID: 1951552900 Enrollment ID: O20121121000465 |
Entity Name | Shelin Agrawal And Hyer Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861783961 PECOS PAC ID: 5890955959 Enrollment ID: O20180417000338 |
Entity Name | Medical Imaging Associates Of Idaho Falls Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740225531 PECOS PAC ID: 7618876590 Enrollment ID: O20200219001844 |
Entity Name | Sonoran Radiology Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20211230000257 |
Entity Name | Mountain Radiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093823742 PECOS PAC ID: 4688666761 Enrollment ID: O20230215000895 |
Entity Name | Alaska Radiology Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803214 PECOS PAC ID: 0648182725 Enrollment ID: O20240118000757 |
Mailing Address | Practice Location Address |
---|---|
Glenn A Mason, MD 340 Magnolia Cir Bldg 1465, Tyndall Afb, FL 32403-5604 Ph: () - | Glenn A Mason, MD 340 Magnolia Cir Bldg 1465, Tyndall Afb, FL 32403-5604 Ph: (850) 283-7458 |