Dr Kurt Larson Glesne, DPM | |
2351 Broadway St, Pekin, IL 61554-3972 | |
(309) 353-4159 | |
(309) 353-4531 |
Full Name | Dr Kurt Larson Glesne |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 15 Years |
Location | 2351 Broadway St, Pekin, 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 |
---|---|---|---|
1346508280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO 3503 (Florida) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 016.005522 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pekin Memorial Hospital | Pekin, IL | Hospital |
Proctor Hospital | Peoria, IL | Hospital |
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pekin Prohealth Inc | 1951214576 | 13 |
Proctor Health Systems | 3476440173 | 124 |
Provider Name | Pekin Prohealth Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932150299 PECOS PAC ID: 1951214576 Enrollment ID: O20031110000647 |
Provider Name | Methodist Medical Center Of Illinois |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
Provider Name | Proctor Health Systems |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
Provider Name | Methodist Medical Center Of Illinois |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20040315000196 |
Mailing Address | Practice Location Address |
---|---|
Dr Kurt Larson Glesne, DPM 2351 Broadway St, Pekin, IL 61554-3972 Ph: (309) 353-4159 | Dr Kurt Larson Glesne, DPM 2351 Broadway St, Pekin, IL 61554-3972 Ph: (309) 353-4159 |
Suzanne S White, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3305 Griffin Ave, Pekin, IL 61554 Phone: 309-347-3668 Fax: 309-347-3890 | |
John L Ruskusky, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3305 Griffin Ave, Pekin, IL 61554 Phone: 309-347-3886 Fax: 309-347-4002 | |
Gretchen M Evans, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3305 Griffin Ave, Pekin, IL 61554 Phone: 309-347-3668 Fax: 309-347-3890 | |
Pekin Podiatric Medical Center, P.c Podiatrist Medicare: Medicare Enrolled Practice Location: 1505 Valle Vista Blvd, Pekin, IL 61554 Phone: 309-347-6121 Fax: 309-347-8010 | |
Jeffrey Robert Ruskusky, D.P.M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 3305 Griffin Ave, Pekin, IL 61554 Phone: 217-528-7541 | |
Dr. Chao Vang, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1503 Valle Vista Blvd Ste C, Pekin, IL 61554 Phone: 309-347-6121 Fax: 309-347-8010 |