Dr Glen R Peterson, DC in La Salle, IL - Medicare Chiropractor Provider

Dr Glen R Peterson, DC is a medicare enrolled "Chiropractor - Sports Physician" provider in La Salle, Illinois. His current practice location is 501 1st St, La Salle, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 223-4201.

Dr Glen R Peterson is licensed to practice in Illinois (license number 038-008373) 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 1437209418.

Contact Information

	Dr Glen R Peterson, DC
	501 1st St, La Salle, IL 61301-2416
	(815) 223-4201
	(814) 223-4210

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Glen R Peterson
Gender	Male
Speciality	Chiropractor - Sports Physician
Location	501 1st St, La Salle, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437209418
Provider Enumeration Date: 01/11/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9335337450
Enrollment ID: I20101216000062

Medical Identifiers

Medical identifiers for Dr Glen R Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437209418	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111NS0005X	Chiropractor - Sports Physician	038-008373 (Illinois)	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. Dr Glen R Peterson allows following entities to bill medicare on his behalf.

Provider Name	Illinois Valley Chiropractic, Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1679883185 PECOS PAC ID: 5991993016 Enrollment ID: O20101216000039

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 Glen R Peterson 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 Address	Practice Location Address
Dr Glen R Peterson, DC Po Box 1204, La Salle, IL 61301-3204 Ph: (815) 223-4201	Dr Glen R Peterson, DC 501 1st St, La Salle, IL 61301-2416 Ph: (815) 223-4201

Reviews and Comments

Chiropractor in La Salle, IL

Mr. William L Judge, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 130 3rd St, La Salle, IL 61301 Phone: 815-223-0647 Fax: 815-223-0987
William L. Judge Chiropractic Center, Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 130 3rd St, La Salle, IL 61301 Phone: 815-223-0647 Fax: 815-223-0987
Dr. Michael James Gergovich, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 130 3rd St, La Salle, IL 61301 Phone: 815-223-0647 Fax: 815-223-0987
Mr. Patrick R Smith, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 130 3rd St, La Salle, IL 61301 Phone: 815-223-0647 Fax: 815-223-0987
Gergovich Family Chiropractic, Llc. Chiropractor Medicare: Medicare Enrolled Practice Location: 130 3rd St, La Salle, IL 61301 Phone: 815-223-0647 Fax: 815-223-0987
Illinois Valley Chiropractic, Ltd Chiropractor Medicare: Medicare Enrolled Practice Location: 501 1st St, La Salle, IL 61301 Phone: 815-223-4201 Fax: 815-223-4210

Dr Glen R Peterson, DC - Medicare Chiropractor in La Salle, IL