Dr Jonathan Shane Glickstein, MD is a medicare enrolled "Otolaryngology" physician in Gibson City, Illinois. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Gibson Community Hospital Association and his current practice location is
1120 N Melvin St, Gibson City, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 784-2212.
Dr Jonathan Shane Glickstein is licensed to practice in Illinois (license number 036.154865) 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 1598983371.
Physician's Profile
| Full Name | Dr Jonathan Shane Glickstein |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 22 Years |
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| Location | 1120 N Melvin St, Gibson City, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jonathan Shane Glickstein attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2002
NPI Data:
- NPI Number: 1598983371
- Provider Enumeration Date: 04/24/2007
- Last Update Date: 03/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 0941395552
- Enrollment ID: I20210104000550
Medical Identifiers
Medical identifiers for Dr Jonathan Shane Glickstein such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598983371 | NPI | - | NPPES |
| 886103000 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 49523 (Minnesota) | Secondary |
| 207Y00000X | Otolaryngology | 036.154865 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Gibson Community Hospital Association | 5092703124 | 97 |
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. Dr Jonathan Shane Glickstein allows following entities to bill medicare on his behalf.
| Entity Name | Gibson Community Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114935681
PECOS PAC ID: 5092703124
Enrollment ID: O20040505001293 |
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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. Dr Jonathan Shane Glickstein 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 |
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Dr Jonathan Shane Glickstein, MD
1120 N Melvin St,
Gibson City, IL 60936-1477
Ph: (217) 784-2212 | Dr Jonathan Shane Glickstein, MD
1120 N Melvin St,
Gibson City, IL 60936-1477
Ph: (217) 784-2212 |
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