Glen Stanley Roseborough, MD in Salem, OR - Medicare Vascular Surgery

Glen Stanley Roseborough, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Salem, Oregon. He graduated from medical school in 1991 and has 34 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Parkview Ancillary Services Corporation, Poudre Valley Medical Group Llc and his current practice location is 2480 Liberty St Ne, Suite 110, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 371-1756.

Glen Stanley Roseborough is licensed to practice in Oregon (license number MD150190) 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 1518903186.

Contact Information

	Glen Stanley Roseborough, MD
	2480 Liberty St Ne, Suite 110, Salem, OR 97301-8381
	(503) 371-1756
	(503) 584-7971

Map and Direction

Physician's Profile

Full Name	Glen Stanley Roseborough
Gender	Male
Speciality	Vascular Surgery
Experience	34 Years
Location	2480 Liberty St Ne, Salem, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Glen Stanley Roseborough graduated from medical school in 1991

NPI Data:

NPI Number: 1518903186
Provider Enumeration Date: 06/21/2006
Last Update Date: 11/13/2024

Medicare PECOS Information:

PECOS PAC ID: 8820139660
Enrollment ID: I20250501003290

Medical Identifiers

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

Identifier	Type	State	Issuer
1518903186	NPI	-	NPPES
P00800072	Other	OR	RAILROAD MEDICARE
500612667	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD150190 (Oregon)	Secondary
2086S0129X	Surgery - Vascular Surgery	MD150190 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkview Medical Center, Inc	Pueblo, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Parkview Ancillary Services Corporation	4385722511	273
Poudre Valley Medical Group Llc	9638208549	1992

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 Stanley Roseborough allows following entities to bill medicare on his behalf.

Entity Name	Poudre Valley Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122

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 Stanley Roseborough 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 Stanley Roseborough, MD 2480 Liberty St Ne, Suite 110, Salem, OR 97301-8381 Ph: (503) 371-1756	Glen Stanley Roseborough, MD 2480 Liberty St Ne, Suite 110, Salem, OR 97301-8381 Ph: (503) 371-1756

Reviews and Comments

Surgery Doctors in Salem, OR

Mark Steven Peterson, MD Surgery Medicare: Medicare Enrolled Practice Location: 925 Commercial St Se Ste 102, Salem, OR 97302 Phone: 503-561-7227 Fax: 503-671-8334
Dr. Peter Augusto Bernardo, M.D Surgery Medicare: Not Enrolled in Medicare Practice Location: 700 Bellevue St Se, Suite 230, Salem, OR 97301 Phone: 503-585-6586 Fax: 503-371-4180
Jiyoun E Kim, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-2448
Eric A Laro, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5050 Skyline Village Loop S, Salem, OR 97306 Phone: 503-391-1110 Fax: 503-370-4237
Dr. Patrick O'herron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 890 Oak St Se, Salem, OR 97301 Phone: 503-561-5200
Dr. Rick Dewitt Pittman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 503-362-8385 Fax: 503-362-8435
Dr. Elizabeth Maryann Windell, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-2448

Glen Stanley Roseborough, MD - Medicare Vascular Surgery in Salem, OR