Dr Mary Elizabeth Glass, LMHC, CRCC is a
Psychiatry & Neurology - Psychiatry based in Ft Myers, Florida. Dr Mary Elizabeth Glass is licensed to practice in Illinois (license number CRC00005090) and her current practice location is
6820 Porto Fino Circle, Suite 1, Ft Myers, Florida. She can be reached at her office (for appointments etc.) via phone at
(239) 225-1364.
NPI number for Dr Mary Elizabeth Glass is 1013265933 and her current mailing address is 6820 Porto Fino Circle, Suite 1, Ft Myers, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013265933.
Healthcare Provider's Profile
| Full Name | Dr Mary Elizabeth Glass |
|---|
| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 6820 Porto Fino Circle, Ft Myers, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013265933
- Provider Enumeration Date: 08/27/2012
- Last Update Date: 08/27/2012
Medical Identifiers
Medical identifiers for Dr Mary Elizabeth Glass such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013265933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | MH2377 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | CRC00005090 (Illinois) | 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. Dr Mary Elizabeth Glass is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mary Elizabeth Glass, LMHC, CRCC
6820 Porto Fino Circle, Suite 1,
Ft Myers, FL 33912-7133
Ph: (239) 225-1364 | Dr Mary Elizabeth Glass, LMHC, CRCC
6820 Porto Fino Circle, Suite 1,
Ft Myers, FL 33912-7133
Ph: (239) 225-1364 |
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