Glenn Riego Puertollano, MD | |
321c East College Ave, Red River Health Care, Stanton, KY 40380 | |
(606) 663-9797 | |
(606) 663-9470 |
Full Name | Glenn Riego Puertollano |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 321c East College Ave, Stanton, Kentucky |
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 |
---|---|---|---|
1679544381 | NPI | - | NPPES |
64094683 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 38924 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Paducah | Paducah, KY | Hospital |
Frankfort Regional Medical Center | Frankfort, KY | Hospital |
Greenview Regional Hospital | Bowling green, KY | Hospital |
Massac Memorial Hospital | Metropolis, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Physician Services Pc | 0042307852 | 499 |
Hospital Medicine Services Of Ky, Llc | 0244695104 | 39 |
Entity Name | Cogent Healthcare Of Kentucky, Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053362293 PECOS PAC ID: 0648294157 Enrollment ID: O20060124000434 |
Entity Name | Southeastern Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150 |
Entity Name | Hospitalist Medicine Physicians Of Kentucky-tcg, Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053899518 PECOS PAC ID: 7113353269 Enrollment ID: O20200207002033 |
Entity Name | Hospital Medicine Services Of Ky, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215634373 PECOS PAC ID: 0244695104 Enrollment ID: O20230427001527 |
Mailing Address | Practice Location Address |
---|---|
Glenn Riego Puertollano, MD Po Box 2748, Red River Health Care, Pikeville, KY 41502-2748 Ph: (606) 432-3221 | Glenn Riego Puertollano, MD 321c East College Ave, Red River Health Care, Stanton, KY 40380 Ph: (606) 663-9797 |