Glenn Eugene Ferguson, PHD in Espanola, NM - Medicare Clinical Psychologist Provider

Glenn Eugene Ferguson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Espanola, New Mexico. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Meditelecare Of Colorado Llc, Meditelecare Of New Mexico, Llc and his current practice location is 206 S Coronado Ave, Espanola, New Mexico. You can reach out to his office (for appointments etc.) via phone at (860) 788-6404.

Glenn Eugene Ferguson is licensed to practice in New Mexico (license number PSY-2022-0061) 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 1922391994.

Contact Information

	Glenn Eugene Ferguson, PHD
	206 S Coronado Ave, Espanola, NM 87532-2792
	(860) 788-6404
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Glenn Eugene Ferguson
Gender	Male
Speciality	Clinical Psychologist
Experience	27 Years
Location	206 S Coronado Ave, Espanola, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Glenn Eugene Ferguson graduated from medical school in 1997

NPI Data:

NPI Number: 1922391994
Provider Enumeration Date: 05/24/2011
Last Update Date: 07/08/2024

Medicare PECOS Information:

PECOS PAC ID: 3870771496
Enrollment ID: I20180430000328

Medical Identifiers

Medical identifiers for Glenn Eugene Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922391994	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY.0004552 (Colorado)	Secondary
103TC0700X	Psychologist - Clinical	44SI00428700 (New Jersey)	Secondary
103TC0700X	Psychologist - Clinical	PSY-2022-0061 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bloomfield Nursing And Rehabilitation Center	Bloomfield, NM	Nursing home
Clayton Nursing And Rehab	Clayton, NM	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Meditelecare Of Colorado Llc	2567888993	3
Meditelecare Of New Mexico, Llc	1254668122	7

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Glenn Eugene Ferguson allows following entities to bill medicare on his behalf.

Entity Name	Meditelecare Of Colorado Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407471774 PECOS PAC ID: 2567888993 Enrollment ID: O20200817002021

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. Glenn Eugene Ferguson 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
Glenn Eugene Ferguson, PHD Po Box 1595, Middletown, CT 06457-8095 Ph: (860) 788-6404	Glenn Eugene Ferguson, PHD 206 S Coronado Ave, Espanola, NM 87532-2792 Ph: (860) 788-6404

Reviews and Comments

Psychologist in Espanola, NM

Dr. Lana R. Landrum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 243 Los Alamos Hwy, Espanola, NM 87532 Phone: 505-753-0773 Fax: 505-753-0775
Stacey Romick-imig, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 405 Hunter St, Espanola, NM 87532 Phone: 505-367-3342
Angelic Martinez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1260 Industrial Park Rd, Espanola, NM 87532 Phone: 505-367-3342
Dr. Diane Thompson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 Onate St, Espanola, NM 87532 Phone: 505-927-1727
Mrs. Jerilyn H Silver, MA MSW Psychologist Medicare: Accepting Medicare Assignments Practice Location: 600 East Fairview Lane, Espanola, NM 87532 Phone: 505-984-2241 Fax: 505-455-2058
Dr. Alice E. Meador, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 714 Calle Don Diego, Espanola, NM 87532 Phone: 505-367-3342 Fax: 505-367-3361
Ms. Linda Mika Mende, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 714 Calle Don Diego, Espanola Public Schools, Espanola, NM 87532 Phone: 505-753-2254

Glenn Eugene Ferguson, PHD - Medicare Psychologist in Espanola, NM