Jennifer Glance, DO | |
950 S Main St Ste 3, Celina, OH 45822-2467 | |
(419) 586-5170 | |
(419) 586-5177 |
Full Name | Jennifer Glance |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology - Obesity Medicine |
Location | 950 S Main St Ste 3, Celina, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659334290 | NPI | - | NPPES |
1659334290 | Medicaid | MI | |
700G410560 | Other | MI | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 5101013945 (Michigan) | Secondary |
207VB0002X | Obstetrics & Gynecology - Obesity Medicine | 34008744 (Ohio) | Primary |
Entity Name | Five Rivers Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104115823 PECOS PAC ID: 9335300904 Enrollment ID: O20120409000638 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Glance, DO 1920 Clinton Ave, Saint Clair, MI 48079-5238 Ph: () - | Jennifer Glance, DO 950 S Main St Ste 3, Celina, OH 45822-2467 Ph: (419) 586-5170 |
Suhila A Noureldin, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 950 S Main St, Suite 10, Celina, OH 45822 Phone: 419-586-1118 Fax: 419-586-4300 | |
Dr. Gil J Rhee, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 950 S Main St, Suite 10, Celina, OH 45822 Phone: 419-586-1118 Fax: 419-586-4300 | |
Richard Allen Kesselring, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 950 S. Main Street, Suite 8, Celina, OH 45822 Phone: 419-586-2226 Fax: 419-584-2223 | |
Dr. David A Rosado, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 950 S Main St, Suite 6, Celina, OH 45822 Phone: 419-586-1118 Fax: 419-586-4300 | |
Robert Eric Seward, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 950 S Main St Ste 8, Celina, OH 45822 Phone: 419-586-2226 |