Elaine Sue Glickman, RNCS - Medicare Registered Nurse in Medford, MA

Elaine Sue Glickman, RNCS is a medicare enrolled "Registered Nurse - Psychiatric/mental Health" in Medford, Massachusetts. Her current practice location is 170 Governors Ave, Lawrence Memorial Hospital Psych, Medford, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 306-6150.

Elaine Sue Glickman is licensed to practice in Massachusetts (license number 107028) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659362440.

Contact Information

Elaine Sue Glickman, RNCS
170 Governors Ave, Lawrence Memorial Hospital Psych,
Medford, MA 02155-1643
(781) 306-6150
(781) 306-6147

Map and Direction




Provider's Profile

Full NameElaine Sue Glickman
GenderFemale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location170 Governors Ave, Medford, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659362440
  • Provider Enumeration Date: 11/02/2005
  • Last Update Date: 04/08/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7416929138
  • Enrollment ID: I20040811001325

Medical Identifiers

Medical identifiers for Elaine Sue Glickman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659362440NPI-NPPES
1200992MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 107028 (Massachusetts)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. Elaine Sue Glickman 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 AddressPractice Location Address
Elaine Sue Glickman, RNCS
170 Governors Ave, Lawrence Memorial Hospital Psych,
Medford, MA 02155-1643

Ph: (781) 306-6150
Elaine Sue Glickman, RNCS
170 Governors Ave, Lawrence Memorial Hospital Psych,
Medford, MA 02155-1643

Ph: (781) 306-6150

Reviews and Comments


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