Dr Mary Glass, MD | |
1640 Crawfordsville Square Dr, Crawfordsville, IN 47933-3800 | |
(765) 362-5789 | |
(765) 362-2453 |
Full Name | Dr Mary Glass |
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Gender | Female |
Speciality | Internal Medicine |
Location | 1640 Crawfordsville Square Dr, Crawfordsville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518921741 | NPI | - | NPPES |
200088280 | Medicaid | IN | |
471400001 | Other | IN | MEDICARE PROVIDER PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 01041573A (Indiana) | Secondary |
207R00000X | Internal Medicine | 01041573 (Indiana) | Primary |
Entity Name | Franciscan Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
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Dr Mary Glass, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Mary Glass, MD 1640 Crawfordsville Square Dr, Crawfordsville, IN 47933-3800 Ph: (765) 362-5789 |
Ravinder Surakanti, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1704 Lafayette Rd, Crawfordsville, IN 47933 Phone: 765-364-1252 | |
Dr. Brett L Spencer, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1601 Lafayette Rd, Crawfordsville, IN 47933 Phone: 765-362-8210 | |
Nibal Saad, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1706 Lafayette Rd, Crawfordsville, IN 47933 Phone: 765-775-2800 Fax: 765-471-5461 | |
Satyanarayana Marri, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1630 Lafayette Rd Ste 200, Crawfordsville, IN 47933 Phone: 765-359-2230 |