Dr Jonathan Shane Glickstein, MD is a medicare enrolled "Otolaryngology" physician in Gibson City, Illinois. His current practice location is
1120 N Melvin St, Gibson City, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 784-2212.
Dr Jonathan Shane Glickstein is licensed to practice in Illinois (license number 036.154865) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598983371.
Physician's Profile
| Full Name | Dr Jonathan Shane Glickstein |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1120 N Melvin St, Gibson City, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jonathan Shane Glickstein attended and graduated from in
NPI Data:
- NPI Number: 1598983371
- Provider Enumeration Date: 04/24/2007
- Last Update Date: 03/22/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jonathan Shane Glickstein such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598983371 | NPI | - | NPPES |
| 886103000 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 49523 (Minnesota) | Secondary |
| 207Y00000X | Otolaryngology | 036.154865 (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 Jonathan Shane Glickstein 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 |
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Dr Jonathan Shane Glickstein, MD
1120 N Melvin St,
Gibson City, IL 60936-1477
Ph: (217) 784-2212 | Dr Jonathan Shane Glickstein, MD
1120 N Melvin St,
Gibson City, IL 60936-1477
Ph: (217) 784-2212 |
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