Justin A Glass, MD | |
777 N Raymond St, Boise, ID 83704-9251 | |
(208) 367-6030 | |
(208) 322-7018 |
Full Name | Justin A Glass |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 777 N Raymond St, Boise, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194820852 | NPI | - | NPPES |
8HD081 | Other | SANOSTEE MEDICARE PIN | |
8HZ07C | Other | NNMC MEDICARE PIN | |
1194820852 | Medicaid | NM | |
565179 | Medicaid | AZ | |
8HD082 | Other | TOADALENA MEDICARE PIN | |
42701279 | Medicaid | CO | |
808154100 | Medicaid | ID | |
807782300 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 56066 (Georgia) | Secondary |
207Q00000X | Family Medicine | M-10405 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
Grande Ronde Hospital | La grande, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Full Circle Health Inc | 6709986797 | 92 |
Entity Name | Full Circle Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841490075 PECOS PAC ID: 6709986797 Enrollment ID: O20070924000618 |
Mailing Address | Practice Location Address |
---|---|
Justin A Glass, MD 777 N Raymond St, Boise, ID 83704-9251 Ph: (208) 367-6030 | Justin A Glass, MD 777 N Raymond St, Boise, ID 83704-9251 Ph: (208) 367-6030 |
Dr. Maureen A Newman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-302-5480 | |
Jessica A Evert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-7350 | |
Tracy Adams, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 | |
Sarah A Hershman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Summer E Szumski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Dr. Thornton E Bryan Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-381-6500 Fax: 208-381-6505 | |
Irvin E Sackman Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 E Boise Ave, Boise, ID 83706 Phone: 208-345-4066 Fax: 208-345-4196 |