Kenneth Douglas Glaeser, MD - Medicare Emergency Medicine in Fairbanks, AK

Kenneth Douglas Glaeser, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Fairbanks, Alaska. His current practice location is 1650 Cowles St, Fairbanks, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 458-5555.

Kenneth Douglas Glaeser is licensed to practice in Alaska (license number 5060) 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 1447247929.

Contact Information

Kenneth Douglas Glaeser, MD
1650 Cowles St,
Fairbanks, AK 99701-5925
(907) 458-5555
Not Available



Physician's Profile

Full NameKenneth Douglas Glaeser
GenderMale
SpecialityEmergency Medicine - Emergency Medical Services
Location1650 Cowles St, Fairbanks, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447247929
  • Provider Enumeration Date: 09/30/2005
  • Last Update Date: 07/28/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5597753111
  • Enrollment ID: I20040503001568

Medical Identifiers

Medical identifiers for Kenneth Douglas Glaeser such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447247929NPI-NPPES
MD80611MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 5060 (Alaska)Primary

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. Kenneth Douglas Glaeser allows following entities to bill medicare on his behalf.
Entity NameGolden Heart Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649469446
PECOS PAC ID: 1658461892
Enrollment ID: O20071212000298

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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. Kenneth Douglas Glaeser 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
Kenneth Douglas Glaeser, MD
3875 Geist Rd, Suite E #381,
Fairbanks, AK 99709-3549

Ph: () -
Kenneth Douglas Glaeser, MD
1650 Cowles St,
Fairbanks, AK 99701-5925

Ph: (907) 458-5555

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Emergency Medicine Doctors in Fairbanks, AK

Mark O Simon, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1650 Cowles St, Fairbanks, AK 99701
Phone: 907-458-5556    
Dr. Stephen S Gerrish, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1408 19th Ave, Tanana Chiefs Conference, Fairbanks, AK 99701
Phone: 907-451-6682    Fax: 907-459-3811
Dr. Caroline Elizabeth Timmerman, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1650 Cowles St, Fairbanks, AK 99701
Phone: 907-458-5555    
Carol J Phillips, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1650 Cowles St, Fairbanks, AK 99701
Phone: 907-458-5555    
John Browning Bass, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4076 Neely Rd, Fairbanks, AK 99703
Phone: 907-361-5172    
Dr. Leonie Horster Deramus, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1867 Airport Way, Ste 130b, Fairbanks, AK 99701
Phone: 907-452-2178    Fax: 907-452-3524
Art J Strauss, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1650 Cowles St, Fairbanks, Fairbanks, AK 99701
Phone: 907-458-5555    

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