Mr Glen Michael Dimick, CMD in Bloomington, IN - Radiology

Mr Glen Michael Dimick, CMD is a Radiology - Radiation Oncology physician based in Bloomington, Indiana. Mr Glen Michael Dimick is licensed to practice in Indiana (license number 2002093) and his current practice location is 3734 W Denise Dr, Bloomington, Indiana. He can be reached at his office (for appointments etc.) via phone at (773) 206-0331.

NPI number for Mr Glen Michael Dimick is 1689278640 and his current mailing address is 3734 W Denise Dr, Bloomington, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689278640.

Contact Information

	Mr Glen Michael Dimick, CMD
	3734 W Denise Dr, Bloomington, IN 47404-8412
	(773) 206-0331
	Not Available

Physician's Profile

Full Name	Mr Glen Michael Dimick
Gender	Male
Speciality	Radiology - Radiation Oncology
Location	3734 W Denise Dr, Bloomington, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1689278640
Provider Enumeration Date: 11/30/2020
Last Update Date: 11/30/2020

Medical Identifiers

Medical identifiers for Mr Glen Michael Dimick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689278640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	2002093 (Indiana)	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. Mr Glen Michael Dimick 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
Mr Glen Michael Dimick, CMD 3734 W Denise Dr, Bloomington, IN 47404-8412 Ph: () -	Mr Glen Michael Dimick, CMD 3734 W Denise Dr, Bloomington, IN 47404-8412 Ph: (773) 206-0331

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Radiology Doctors in Bloomington, IN

Dr. Jonathan Andrew Staser, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 429 S Landmark Avenue, Bloomington, IN 47403 Phone: 812-332-8242 Fax: 812-333-7684
Dr. Douglas Geiger, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 429 S Landmark Ave, Bloomington, IN 47403 Phone: 812-332-8242 Fax: 812-333-7684
Dr. Bharati Kharkar, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2620 Cota Dr, Bloomington, IN 47403 Phone: 812-332-8242 Fax: 812-333-7684
Donald C Buehner, Radiology Medicare: Not Enrolled in Medicare Practice Location: 500 S. Landmark Ave, Bloomington, IN 47402 Phone: 812-332-8242 Fax: 812-333-7684
Dr. Philip Doering, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 429 S Landmark Ave, Bloomington, IN 47403 Phone: 812-332-8242 Fax: 812-333-7684
Dr. David Yoon Lee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2620 Cota Dr, Bloomington, IN 47403 Phone: 812-353-2800 Fax: 812-335-9569
Nicholas P Miller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 429 S Landmark Ave, Bloomington, IN 47403 Phone: 812-332-8242 Fax: 812-333-7684

Mr Glen Michael Dimick, CMD - Radiology in Bloomington, IN