Glendon Burress, in Rockford, IL - Medicare Pediatrics

Glendon Burress, is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Rockford, Illinois. His current practice location is 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 971-2000.

Glendon Burress is licensed to practice in Illinois (license number 036087077) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639190200.

Contact Information

	Glendon Burress,
	2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103
	(815) 971-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Glendon Burress
Gender	Male
Speciality	Pediatrics - Pediatric Gastroenterology
Location	2300 N. Rockton Ave., Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639190200
Provider Enumeration Date: 07/21/2006
Last Update Date: 06/20/2022

Medicare PECOS Information:

PECOS PAC ID: 0345480810
Enrollment ID: I20130703000425

Medical Identifiers

Medical identifiers for Glendon Burress such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639190200	NPI	-	NPPES
036087077	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036087077 (Illinois)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	036087077 (Illinois)	Primary

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. Glendon Burress allows following entities to bill medicare on his behalf.

Entity Name	Rockford Health Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584

Entity Name	Mercy Health System Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307

Entity Name	Bonaventure Medical Foundation Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588775647 PECOS PAC ID: 7517863178 Enrollment ID: O20031212000374

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. Glendon Burress 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
Glendon Burress, 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 Ph: (815) 971-2000	Glendon Burress, 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 Ph: (815) 971-2000

Reviews and Comments

Pediatrics Doctors in Rockford, IL

Dr. Thomas Danko, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4400
Dr. Gary Patrick Fernando, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600
Kimberly Remedios-smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-5000 Fax: 815-968-5742
Dr. Errol Christopher Baptist, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 461 N Mulford Rd, Suite # 4, Rockford, IL 61107 Phone: 779-696-5570
Patricia L. Moody, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2780 Mcfarland Rd, Rockford, IL 61107 Phone: 815-971-2000 Fax: 815-637-0400
Dr. Gail Sharon Haiken, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5303 Regents Park Rd, Rockford, IL 61107 Phone: 815-397-2528
Dr. Sarah M. Beaves, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2300 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000

Glendon Burress, - Medicare Pediatrics in Rockford, IL