Glen E Leer (NPI# 1063505667, PAC ID# 5193744076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063505667 |
| PAC ID by PECOS | 5193744076 |
| Professional Enrollment ID | I20051121000616 |
| Full Name | Glen E Leer |
| Address |
204 W Main St Arcadia IN 46030-0383 |
| Gender | M |
| Credential | MD |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151311 | INDIANA UNIVERSITY HEALTH TIPTON HOSPITAL INC |
| 150059 | RIVERVIEW HEALTH |
| 151308 | ST VINCENT MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 204 W Main St, Arcadia, IN 46030-0383 |
| Street Address |
204 W MAIN ST |
| City | ARCADIA |
| State | IN |
| Zip | 46030-0383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Hammerschmidt | Optometry | Beulah Vision PC | 204 W Main St, Beulah, ND 58523-6970 |
| Lynn N Huffman | Optometry | Beulah Vision PC | 204 W Main St, Beulah, ND 58523-6970 |
| Harold B Allen | Chiropractic | 204 W Main St, Clinton, IL 61727-1816 | |
| Robert Miller | Chiropractic | 204 W Main St, Plain City, OH 43064-4122 |
| City | ARCADIA |
| Zip Code | 46030 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ARCADIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Glen E Leer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.