Dr Glen N Feather, DO | |
180 S Main St, Canton, IL 61520-2608 | |
(309) 647-0201 | |
(309) 649-6880 |
Full Name | Dr Glen N Feather |
---|---|
Gender | Male |
Speciality | Pain Management |
Experience | 41 Years |
Location | 180 S Main St, Canton, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962492900 | NPI | - | NPPES |
036079920 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036079920 (Illinois) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 036079920 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Graham Hospital Association | Canton, IL | Hospital |
Mc Donough District Hospital | Macomb, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mason Hospital District | 2466360607 | 33 |
Graham Hospital Association | 2769375021 | 95 |
Entity Name | Mason Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902849649 PECOS PAC ID: 2466360607 Enrollment ID: O20040412000399 |
Entity Name | Graham Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040510000873 |
Mailing Address | Practice Location Address |
---|---|
Dr Glen N Feather, DO 2907 W Wardcliffe Dr, Peoria, IL 61604-2157 Ph: (309) 404-1914 | Dr Glen N Feather, DO 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 |
Jae K Kim, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-5240 Fax: 309-647-5104 | |
Keith Harvey Ifft, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-360-2600 |