Glenn Jeffrey Pelletier, MD | |
725 Welch Rd, Palo Alto, CA 94304-1601 | |
(650) 497-8000 | |
Not Available |
Full Name | Glenn Jeffrey Pelletier |
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Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 725 Welch Rd, Palo Alto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861440273 | NPI | - | NPPES |
1010279140002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | G86182 (California) | Primary |
Entity Name | The Nemours Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366594699 PECOS PAC ID: 9537072483 Enrollment ID: O20040422000840 |
Mailing Address | Practice Location Address |
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Glenn Jeffrey Pelletier, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000 | Glenn Jeffrey Pelletier, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000 |
Yi-ping Joseph Woo, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Palo Alto, CA 94305 Phone: 650-825-3828 | |
Michael John Paulsen, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Palo Alto, CA 94304 Phone: 650-723-4000 | |
Xun Zhou, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 870 Quarry Rd Extension, Palo Alto, CA 94304 Phone: 650-723-5771 | |
Michael Raosen Ma, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Palo Alto, CA 94304 Phone: 650-723-4000 | |
Chawannuch Ruaengsri, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Palo Alto, CA 94304 Phone: 650-723-4000 | |
Elisabeth Martin, MD MPH Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
James B.d. Mark, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 875 Blake Wilbur Dr, Clinic A, Palo Alto, CA 94304 Phone: 650-726-7191 |