Kadeem Iman Glasgow, PA is a medicare enrolled "Physician Assistant" physician in Bronx, New York. His current practice location is
1250 Waters Pl, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at
(800) 636-6683.
Kadeem Iman Glasgow is licensed to practice in New York (license number 029847) 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 1962197442.
Physician's Profile
Full Name | Kadeem Iman Glasgow |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1250 Waters Pl, Bronx, New York |
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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: 1962197442
- Provider Enumeration Date: 04/10/2023
- Last Update Date: 04/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648635995
- Enrollment ID: I20230420002217
Medical Identifiers
Medical identifiers for Kadeem Iman Glasgow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962197442 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085B0100X | Radiology - Body Imaging | 029847 (New York) | Secondary |
363A00000X | Physician Assistant | 029847 (New York) | 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. Kadeem Iman Glasgow 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 |
Kadeem Iman Glasgow, PA 22115 Hempstead Ave Apt 2d, Queens Village, NY 11429-2106 Ph: (347) 451-9202 | Kadeem Iman Glasgow, PA 1250 Waters Pl, Bronx, NY 10461-2720 Ph: (800) 636-6683 |
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