| Dr Glenn Skow, MD, MPH, FAAFP | |
|
650 W Taylor St, Vandalia, IL 62471-1227 | |
| (618) 283-5136 | |
| Not Available |
| Full Name | Dr Glenn Skow |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 650 W Taylor St, Vandalia, 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 |
|---|---|---|---|
| 1396987053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 258929 (New York) | Secondary |
| 207Q00000X | Family Medicine | 036130323 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 036130323 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jersey Community Hospital | Jerseyville, IL | Hospital |
| Fayette County Hospital | Vandalia, IL | Hospital |
| Osf Saint Anthony's Health Center | Alton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jersey Community Hospital | 4587650445 | 57 |
| Alton-griffin Emergency Group Pc | 7315167103 | 15 |
| Entity Name | Sarah Bush Lincoln Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
| Entity Name | Jersey Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780609925 PECOS PAC ID: 4587650445 Enrollment ID: O20040424000140 |
| Entity Name | Thomas H Boyd Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811096811 PECOS PAC ID: 8123085560 Enrollment ID: O20041216000800 |
| Entity Name | Thomas H Boyd Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1811096811 PECOS PAC ID: 8123085560 Enrollment ID: O20110118000703 |
| Entity Name | Thomas H Boyd Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1699973685 PECOS PAC ID: 8123085560 Enrollment ID: O20110118000988 |
| Entity Name | Cepamerica Illinois Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Entity Name | Alton-griffin Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891104824 PECOS PAC ID: 7315167103 Enrollment ID: O20140929002428 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn Skow, MD, MPH, FAAFP 825 New York Dr Ste 2, Vandalia, IL 62471-1044 Ph: (618) 283-5545 | Dr Glenn Skow, MD, MPH, FAAFP 650 W Taylor St, Vandalia, IL 62471-1227 Ph: (618) 283-5136 |
Dr. Carl A Castle, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1510 Sunset Dr, Vandalia, IL 62471 Phone: 618-283-3144 Fax: 618-283-3194 |