Richard Dennis Glisson, DO | |
124 Hebron Ave Ste 1b, Glastonbury, CT 06033 | |
(860) 633-8806 | |
(860) 657-3788 |
Full Name | Richard Dennis Glisson |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 34 Years |
Location | 124 Hebron Ave Ste 1b, Glastonbury, Connecticut |
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 |
---|---|---|---|
1376503003 | NPI | - | NPPES |
300117748 | Other | CT | RAILROAD MEDICARE |
300117753 | Other | CT | RAILROAD MEDICARE |
040038819CT09 | Other | CT | ANTHEM BC/BS |
300117769 | Other | CT | RAILROAD MEDICARE |
001388190 | Medicaid | CT | |
040038819CT05 | Other | CT | ANTHEM BC/BS |
040038819CT02 | Other | CT | ANTHEM BC/BS |
040038819CT03 | Other | CT | ANTHEM BC/BS |
300117740 | Other | CT | RAILROAD MEDICARE |
300117761 | Other | CT | RAILROAD MEDICARE |
040038819CT08 | Other | CT | ANTHEM BC/BS |
300117757 | Other | CT | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 038819 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
William W Backus Hospital | Norwich, CT | Hospital |
The Hospital Of Central Connecticut | New britain, CT | Hospital |
Midstate Medical Center | Meriden, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Meriden Imaging Center Inc | 4385683556 | 49 |
Midstate Radiology Associates, Llc | 4880593565 | 74 |
Entity Name | Mandell & Blau, Md's Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811007545 PECOS PAC ID: 3375441777 Enrollment ID: O20031223000075 |
Entity Name | Midstate Radiology Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578518999 PECOS PAC ID: 4880593565 Enrollment ID: O20031231000543 |
Entity Name | Diagnostic Imaging Services Of Ct Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093760431 PECOS PAC ID: 3577465111 Enrollment ID: O20040123000288 |
Entity Name | Meriden Imaging Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508812561 PECOS PAC ID: 4385683556 Enrollment ID: O20050427000621 |
Mailing Address | Practice Location Address |
---|---|
Richard Dennis Glisson, DO Po Box 230, Glastonbury, CT 06033-0230 Ph: (860) 633-8806 | Richard Dennis Glisson, DO 124 Hebron Ave Ste 1b, Glastonbury, CT 06033 Ph: (860) 633-8806 |
Anthony E Baumstark, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 157 Rampart Dr, Glastonbury, CT 06033 Phone: 860-841-0224 | |
Evan Wynne Harris, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 622 Hebron Ave Ste 103, Glastonbury, CT 06033 Phone: 727-452-8777 | |
Neal David Barkoff, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 124 Hebron Ave Ste 1b, Glastonbury, CT 06033 Phone: 860-633-8806 Fax: 860-657-3788 | |
Alisa Sue Siegfeld, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 124 Hebron Ave Ste 1b, Glastonbury, CT 06033 Phone: 860-633-8806 Fax: 860-657-3788 |