Glenn R Slocum, MD | |
74 Harvey Ct, Irvine, CA 92617-4070 | |
(949) 725-6437 | |
Not Available |
Full Name | Glenn R Slocum |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 34 Years |
Location | 74 Harvey Ct, Irvine, California |
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 |
---|---|---|---|
1588614564 | NPI | - | NPPES |
P00449079 | Other | RAILROAD MEDICARE | |
00G745780 | Medicaid | CA | |
00G745780 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | G74578 (California) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 45137 (Arizona) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Fountain Valley Regional Hospital & Medical Center | Fountain valley, CA | Hospital |
Desert Regional Medical Center | Palm springs, CA | Hospital |
Eisenhower Medical Center | Rancho mirage, CA | Hospital |
Hi-desert Medical Center | Joshua tree, CA | Hospital |
John F Kennedy Memorial Hospital | Indio, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Palm Desert Radiology Medical Group Inc | 0749173789 | 110 |
Golden State Imaging Associates Inc | 1254761315 | 223 |
Entity Name | Palm Desert Radiology Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124079868 PECOS PAC ID: 0749173789 Enrollment ID: O20040204000599 |
Entity Name | Golden State Imaging Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20200414001788 |
Mailing Address | Practice Location Address |
---|---|
Glenn R Slocum, MD 74 Harvey Ct, Irvine, CA 92617-4070 Ph: (949) 725-6437 | Glenn R Slocum, MD 74 Harvey Ct, Irvine, CA 92617-4070 Ph: (949) 725-6437 |
Dr. Franklin Barry Grossman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1400 Reynolds Ave, Suite 103, Irvine, CA 92614 Phone: 714-912-8525 | |
Dr. Ngoc N. Le, Radiology Medicare: Medicare Enrolled Practice Location: 1000 Fivepoint, Irvine, CA 92618 Phone: 800-826-4673 | |
Adam Wootton, ARRT(R)(MR) Radiology Medicare: Not Enrolled in Medicare Practice Location: 6640 Alton Pkwy, Irvine, CA 92618 Phone: 714-928-7715 | |
Dr. Salma H. Khan, M D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4950 Barranca Pkwy, Suite 201, Irvine, CA 92604 Phone: 949-294-1550 Fax: 949-653-6192 | |
Dr. E. Edmund Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 16100 Sand Canyon Ave Ste 130, Irvine, CA 92618 Phone: 713-792-3008 Fax: 713-792-4580 | |
Dr. Dina M. Ragheb, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Fivepoint, Irvine, CA 92618 Phone: 626-256-4673 | |
Judith A Harrison-monge-reiner, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 16100 Sand Canyon Ave, Suite 130, Irvine, CA 92867 Phone: 949-417-1100 Fax: 949-417-1165 |