Dr Richard Glass, MD | |
20 Herrell Rd, Villa Rica, GA 30180-5527 | |
(770) 456-3929 | |
Not Available |
Full Name | Dr Richard Glass |
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Gender | Male |
Speciality | Family Medicine |
Location | 20 Herrell Rd, Villa Rica, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780820753 | NPI | - | NPPES |
344112558A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 250913 (New York) | Secondary |
207Q00000X | Family Medicine | 062989 (Georgia) | Primary |
Entity Name | Nova Medical Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144784679 PECOS PAC ID: 5395151922 Enrollment ID: O20210305002236 |
Mailing Address | Practice Location Address |
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Dr Richard Glass, MD Po Box 1149, Villa Rica, GA 30180-6149 Ph: (404) 858-1063 | Dr Richard Glass, MD 20 Herrell Rd, Villa Rica, GA 30180-5527 Ph: (770) 456-3929 |
James Larry Boss, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 517 Leslie Dr, Villa Rica, GA 30180 Phone: 770-459-5179 | |
Dr. Virginia H Price, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dallas Hwy Ste 101, Villa Rica, GA 30180 Phone: 770-459-4411 Fax: 770-459-1896 | |
Dr. Kenneth L Boss, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dallas Hwy, Suite 101, Villa Rica, GA 30180 Phone: 770-456-4411 Fax: 770-812-3582 | |
Dr. Henry Charles Guthery Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 809 W Bankhead Hwy Ste D, Villa Rica, GA 30180 Phone: 678-615-9519 | |
Mrs. Chandrika Garg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Quartz Dr, Suite 101, Villa Rica, GA 30180 Phone: 770-949-7500 Fax: 770-942-8800 | |
Dr. India C. Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Permian Way, Suite A, Villa Rica, GA 30180 Phone: 678-840-4034 Fax: 678-840-4035 | |
Dr. Merna Michelle Vera, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 403 Permian Way, Suite A, Villa Rica, GA 30180 Phone: 770-771-5235 Fax: 770-771-5236 |