Katherine Glaser, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Hannibal, Missouri. She went to University Of Missouri, Kansas City, School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice First Capitol Dermatology Llc and her current practice location is
163 Medical Dr, Hannibal, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 719-1818.
Katherine Glaser is licensed to practice in Missouri (license number 2021023179) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497100713.
Physician's Profile
Full Name | Katherine Glaser |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 8 Years |
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Location | 163 Medical Dr, Hannibal, Missouri |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Katherine Glaser attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 2016
NPI Data:
- NPI Number: 1497100713
- Provider Enumeration Date: 04/25/2016
- Last Update Date: 02/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 3971898818
- Enrollment ID: I20220223001564
Medical Identifiers
Medical identifiers for Katherine Glaser such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497100713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207NS0135X | Dermatology - Procedural Dermatology | 2021023179 (Missouri) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 2021023179 (Missouri) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
First Capitol Dermatology Llc | 0345319190 | 3 |
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. Katherine Glaser allows following entities to bill medicare on her behalf.
Entity Name | First Capitol Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730352394 PECOS PAC ID: 0345319190 Enrollment ID: O20080520000094 |
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Entity Name | Riverside Dermatology & Spa Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699262329 PECOS PAC ID: 7214282227 Enrollment ID: O20180615000066 |
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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. Katherine Glaser 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 |
Katherine Glaser, MD 8025 Bonhomme Ave Apt 1805, Clayton, MO 63105-3530 Ph: () - | Katherine Glaser, MD 163 Medical Dr, Hannibal, MO 63401-6884 Ph: (573) 719-1818 |
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