Glen Coulomb, MD in Naperville, IL

Glen Coulomb, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Naperville, Illinois. His current practice location is 801 S Washington St, Naperville, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 281-2670.

Glen Coulomb is licensed to practice in Illinois (license number 036063012) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396705489.

Contact Information

	Glen Coulomb, MD
	801 S Washington St, Naperville, IL 60540-7430
	(630) 281-2670
	(815) 327-2475

Map and Direction

Physician's Profile

Full Name	Glen Coulomb
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	801 S Washington St, Naperville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396705489
Provider Enumeration Date: 03/24/2006
Last Update Date: 02/22/2011

Medicare PECOS Information:

PECOS PAC ID: 3971529231
Enrollment ID: I20051017000751

Medical Identifiers

Medical identifiers for Glen Coulomb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396705489	NPI	-	NPPES
02215038	Other	IL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	036063012 (Illinois)	Primary

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. Glen Coulomb allows following entities to bill medicare on his behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

Entity Name	Edward Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013969013 PECOS PAC ID: 0042108110 Enrollment ID: O20040309001279

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. Glen Coulomb 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
Glen Coulomb, MD 1919 S Highland Ave, Ste B202, Lombard, IL 60148-6153 Ph: (630) 873-7305	Glen Coulomb, MD 801 S Washington St, Naperville, IL 60540-7430 Ph: (630) 281-2670

Reviews and Comments

Surgery Doctors in Naperville, IL

Dr. Michael Joseph Gaffud, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1020 E Ogden Ave Ste 301, Naperville, IL 60563 Phone: 630-545-7565
James W Wielgolewski, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 120 Spalding Dr, Suite 100, Naperville, IL 60540 Phone: 630-961-0423 Fax: 630-961-9280
Ahmad Nourallah, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1948 Three Farms Ave, Naperville, IL 60540 Phone: 630-355-5633 Fax: 630-355-5215
Louis C Montana, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 Spalding Dr, Ste 100, Naperville, IL 60540 Phone: 630-961-0423 Fax: 630-961-9280
Morta Lapkus, Surgery Medicare: Medicare Enrolled Practice Location: 120 Spalding Dr Ste 205, Naperville, IL 60540 Phone: 630-646-6020 Fax: 630-527-3400
Dr. Robert R Payton, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10 W Martin Ave Ste 225, Naperville, IL 60540 Phone: 630-355-5633
Dr. George I. Salti, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 Spalding Dr Ste 205, Naperville, IL 60540 Phone: 630-646-6020 Fax: 630-527-3400

Glen Coulomb, MD - Medicare Surgery in Naperville, IL