Jonathan Glaze, MD in Memphis, TN - Medicare Ophthalmology

Jonathan Glaze, MD is a medicare enrolled "Ophthalmology" physician in Memphis, Tennessee. His current practice location is 1068 Cresthaven Rd Ste 400, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 448-6650.

Jonathan Glaze is licensed to practice in Tennessee (license number 68334) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821551714.

Contact Information

	Jonathan Glaze, MD
	1068 Cresthaven Rd Ste 400, Memphis, TN 38119-0845
	(901) 448-6650
	(901) 302-2486

Map and Direction

Physician's Profile

Full Name	Jonathan Glaze
Gender	Male
Speciality	Ophthalmology
Location	1068 Cresthaven Rd Ste 400, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821551714
Provider Enumeration Date: 04/09/2019
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 3971832932
Enrollment ID: I20230802001267

Medical Identifiers

Medical identifiers for Jonathan Glaze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821551714	NPI	-	NPPES
Q083201	Medicaid	TN
200005320	Medicaid	MS
305271001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	68334 (Tennessee)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jonathan Glaze allows following entities to bill medicare on his behalf.

Entity Name	Ut Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780676650 PECOS PAC ID: 3173435369 Enrollment ID: O20031105000384

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. Jonathan Glaze 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
Jonathan Glaze, MD 1407 Union Ave Ste 700, Memphis, TN 38104-3641 Ph: (901) 448-6650	Jonathan Glaze, MD 1068 Cresthaven Rd Ste 400, Memphis, TN 38119-0845 Ph: (901) 448-6650

Reviews and Comments

Ophthalmology Doctors in Memphis, TN

Kathryn W Byrd, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6401 Poplar Ave, Suite 324, Memphis, TN 38119 Phone: 901-681-9600 Fax: 901-681-9608
Dr. Clifford William Sims, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1407 Union Ave Ste 901, Memphis, TN 38104 Phone: 901-526-8393 Fax: 901-526-8331
Priscilla April Lao, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 930 Madison Ave Ste 200, Memphis, TN 38103 Phone: 901-448-6650 Fax: 901-302-2486
Dr. Daniel H Wissinger, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1203 Ridgeway Rd, Ste 201, Memphis, TN 38119 Phone: 901-761-5544 Fax: 901-761-9088
Penny Asbell, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 930 Madison Ave Ste 200, Memphis, TN 38163 Phone: 901-448-6650
Michele A Battles, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6401 Poplar Ave, Suite 340, Memphis, TN 38119 Phone: 901-683-5500 Fax: 901-683-2900
Dr. Natalie C Kerr, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 930 Madison Ave Ste 400, Memphis, TN 38103 Phone: 901-287-7337 Fax: 901-448-1813

Jonathan Glaze, MD - Medicare Ophthalmology in Memphis, TN