| Glendon E Cook, MD | |
|
1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 | |
| (541) 472-4777 | |
| (541) 471-1439 |
| Full Name | Glendon E Cook |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 1701 Nw Hawthorne Ave, Grants Pass, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952343816 | NPI | - | NPPES |
| 000000266485 | Other | PA | UNISON |
| 824355 | Other | PA | FPH |
| 101764792-0001 | Medicaid | PA | |
| 500850811 | Medicaid | OR | |
| 000063294 | Other | PA | BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD223655 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Los Alamos Medical Center | Los alamos, NM | Hospital |
| Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Los Alamos Physician Practices Llc | 4587661541 | 15 |
| Siskiyou Community Health Center Inc | 6305747288 | 28 |
| Siskiyou Community Health Center Inc | 6305747288 | 28 |
| Entity Name | Los Alamos Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750330510 PECOS PAC ID: 4587661541 Enrollment ID: O20061104000041 |
| Mailing Address | Practice Location Address |
|---|---|
| Glendon E Cook, MD 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 Ph: (541) 472-4777 | Glendon E Cook, MD 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 Ph: (541) 472-4777 |
Dr. Amy Lynne Card, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 537 Union Ave Fl 1sr, Grants Pass, OR 97527 Phone: 541-507-2170 Fax: 541-507-2171 | |
Dr. Steven R Foutz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 124b Nw Midland Ave, Grants Pass, OR 97526 Phone: 541-474-2944 | |
Dr. Hala Mohamed Aly Ahmed, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Ne Manzanita Ave, Grants Pass, OR 97526 Phone: 541-471-3455 | |
Dr. Keaton James Fletcher, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-472-4777 Fax: 541-471-1439 | |
Dr. Tamara Powell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1690 Ne Lynda Ln, Grants Pass, OR 97526 Phone: 541-476-3000 Fax: 541-479-5101 | |
Dr. Lorene Hamilton, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1819 Nebraska Ave, Grants Pass, OR 97527 Phone: 541-956-8800 Fax: 541-956-9088 | |
Dr. John David Wilson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 495 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-476-6644 |