| Carmon L Glover Iii, DO | |
|
211 S 3rd St, Belleville, IL 62220-1915 | |
| (618) 234-2120 | |
| Not Available |
| Full Name | Carmon L Glover Iii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 211 S 3rd St, Belleville, 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 |
|---|---|---|---|
| 1497701510 | NPI | - | NPPES |
| 036098224 | Medicaid | IL | |
| P00342997 | Other | IL | RAILROAD MEDICARE |
| 08232205 | Other | IL | BLUE CROSS BLUE SHIELD |
| 0008232056 | Other | IL | BLUECROSS BLUESHIELD |
| 06032182 | Other | IL | BLUE CROSS BLUE SHIELD |
| 08232204 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036098224 (Illinois) | Primary |
| 208D00000X | General Practice | 036098224 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anderson Hospital | Maryville, IL | Hospital |
| Clay County Hospital | Flora, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Touchette Regional Hospital Inc | Centreville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Emergency Sparta, Inc. | 0345481255 | 12 |
| Midwest Emergency Good Samaritan, Inc | 1658529342 | 23 |
| Midwest Emergency Centralia Campus Associates, Inc. | 2163672650 | 11 |
| Midwest Emergency Anderson Health Inc | 8022401256 | 24 |
| Entity Name | Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851390132 PECOS PAC ID: 5294649372 Enrollment ID: O20031113000382 |
| Entity Name | Midwest Emergency Good Samaritan, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629367578 PECOS PAC ID: 1658529342 Enrollment ID: O20120921000645 |
| Entity Name | Midwest Emergency Centralia Campus Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396034245 PECOS PAC ID: 2163672650 Enrollment ID: O20121018000074 |
| Entity Name | Midwest Emergency Sparta, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194162370 PECOS PAC ID: 0345481255 Enrollment ID: O20130718000343 |
| Entity Name | Midwest Emergency Anderson Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710647615 PECOS PAC ID: 8022401256 Enrollment ID: O20220210000357 |
| Entity Name | Midwest Inpatient Anderson Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821758608 PECOS PAC ID: 3072908474 Enrollment ID: O20220322002045 |
| Mailing Address | Practice Location Address |
|---|---|
| Carmon L Glover Iii, DO Po Box 8882, Fort Worth, TX 76124-0882 Ph: (817) 451-4208 | Carmon L Glover Iii, DO 211 S 3rd St, Belleville, IL 62220-1915 Ph: (618) 234-2120 |
Dr. Neil Mcclymont, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4500 Memorial Dr, Memorial Hospital - Er, Belleville, IL 62226 Phone: 618-233-7750 Fax: 618-257-6860 | |
Michelle M Burk, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4315 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 | |
Judith L Wuller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120 | |
Dr. Djiby Diop, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5879 Fax: 618-257-6740 | |
Dr. Lundy Wade Colvert, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5879 Fax: 618-257-6740 | |
Kristy L Holland, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120 | |
Dr. Robert W Mecker Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5879 Fax: 618-257-6740 |