| Dr Lisa M Glosson, MD | |
|
3707 Doty Rd Ste G, Woodstock, IL 60098 | |
| (815) 338-6600 | |
| (815) 338-9488 |
| Full Name | Dr Lisa M Glosson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 3707 Doty Rd Ste G, Woodstock, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780642678 | NPI | - | NPPES |
| 036097016 | Other | IL | STATE LICENSE |
| P00012141 | Other | IL | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036097016 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elara Caring | Des plaines, IL | Home health agency |
| Saint Anthony Medical Center For Home Care | Rockford, IL | Home health agency |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Dupage Physician Group | 5890696231 | 1005 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa M Glosson, MD 3707 Doty Rd Ste G, Woodstock, IL 60098-7530 Ph: (815) 338-6600 | Dr Lisa M Glosson, MD 3707 Doty Rd Ste G, Woodstock, IL 60098 Ph: (815) 338-6600 |
Dr. Napoleon P Abando, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 Lake Ave, Woodstock, IL 60098 Phone: 815-337-7100 | |
Baby Min Than, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Lake Ave, Woodstock, IL 60098 Phone: 815-337-7100 Fax: 815-337-8152 | |
Dr. Robert Leslie Buckley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1530 Acacia Lane, Woodstock, IL 60098 Phone: 815-527-5408 | |
Dr. David John Martinez, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3707 Doty Rd, Suite H, Woodstock, IL 60098 Phone: 815-338-6600 Fax: 815-337-2898 | |
Jovita Zalwango Nassolo, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098 Phone: 815-245-6008 | |
Clare Legursky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3707 Doty Rd, Woodstock, IL 60098 Phone: 815-338-6600 | |
Jeffrey D Bagdon, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Lake Ave, Woodstock, IL 60098 Phone: 815-337-7100 |