Glenn Riego Puertollano, MD is a medicare enrolled "Internal Medicine" physician in Stanton, Kentucky. He graduated from medical school in 1998 and has 27 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Southeastern Physician Services Pc, Hospital Medicine Services Of Ky, Llc and his current practice location is
321c East College Ave, Red River Health Care, Stanton, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 663-9797.
Glenn Riego Puertollano is licensed to practice in Kentucky (license number 38924) 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 1679544381.
Physician's Profile
| Full Name | Glenn Riego Puertollano |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 27 Years |
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| Location | 321c East College Ave, Stanton, Kentucky |
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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. |
Medical Education and Training:
- Glenn Riego Puertollano graduated from medical school in 1998
NPI Data:
- NPI Number: 1679544381
- Provider Enumeration Date: 01/30/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1254300395
- Enrollment ID: I20040927000527
Medical Identifiers
Medical identifiers for Glenn Riego Puertollano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679544381 | NPI | - | NPPES |
| 64094683 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 38924 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Southeastern Physician Services Pc | 0042307852 | 529 |
| Hospital Medicine Services Of Ky, Llc | 0244695104 | 39 |
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. Glenn Riego Puertollano allows following entities to bill medicare on his behalf.
| Entity Name | Cogent Healthcare Of Kentucky, Psc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053362293 PECOS PAC ID: 0648294157 Enrollment ID: O20060124000434 |
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| Entity Name | Southeastern Physician Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150 |
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| Entity Name | Hospital Medicine Services Of Ky, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215634373 PECOS PAC ID: 0244695104 Enrollment ID: O20230427001527 |
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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. Glenn Riego Puertollano 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 |
Glenn Riego Puertollano, MD Po Box 2748, Red River Health Care, Pikeville, KY 41502-2748 Ph: (606) 432-3221 | Glenn Riego Puertollano, MD 321c East College Ave, Red River Health Care, Stanton, KY 40380 Ph: (606) 663-9797 |
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