Elyssa Glassheim, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Albuquerque, New Mexico. Her current practice location is
Msc08 4640 1 University Of New Mexico Albuquerque Nm 8, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 272-4814.
Elyssa Glassheim is licensed to practice in New Mexico (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245811223.
Physician's Profile
Full Name | Elyssa Glassheim |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | Msc08 4640 1 University Of New Mexico Albuquerque Nm 8, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245811223
- Provider Enumeration Date: 04/20/2021
- Last Update Date: 03/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 7810398435
- Enrollment ID: I20210701003888
Medical Identifiers
Medical identifiers for Elyssa Glassheim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245811223 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | TL.0008661 (Colorado) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (New Mexico) | Primary |
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. Elyssa Glassheim 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 |
Elyssa Glassheim, Msc08 4640 1 University Of New Mexico, Albuquerque, NM 87131-0001 Ph: (505) 272-4814 | Elyssa Glassheim, Msc08 4640 1 University Of New Mexico Albuquerque Nm 8, Albuquerque, NM 87131-2545 Ph: (505) 272-4814 |
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