| Jeffrey B Gleick, MD | |
|
1989 Miamisburg Centerville Rd, Suite 301, Centerville, OH 45459-3859 | |
| (937) 434-7353 | |
| (937) 438-6569 |
| Full Name | Jeffrey B Gleick |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 1989 Miamisburg Centerville Rd, Centerville, Ohio |
| 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 |
|---|---|---|---|
| 1760487599 | NPI | - | NPPES |
| P00708877 | Other | OH | RAILROAD MEDICARE |
| 2065125 | Medicaid | OH | |
| GL4038173 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35-067476 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kettering Homecare | Kettering, OH | Home health agency |
| Health At Home | Dayton, OH | Home health agency |
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Kettering Medical Center | Kettering, OH | Hospital |
| Kettering Medical Center - Sycamore | Miamisburg, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Group | 2860386349 | 28 |
| Premier Integrated Medical Assoc Ltd | 9032101399 | 20 |
| Entity Name | Providence Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972533149 PECOS PAC ID: 2860386349 Enrollment ID: O20040215000006 |
| Entity Name | Premier Integrated Medical Assoc Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811953052 PECOS PAC ID: 9032101399 Enrollment ID: O20040409000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey B Gleick, MD 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 Ph: (937) 297-8999 | Jeffrey B Gleick, MD 1989 Miamisburg Centerville Rd, Suite 301, Centerville, OH 45459-3859 Ph: (937) 434-7353 |
Shane Timothy Sampson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1989 Miamisburg Centerville Rd Ste 301, Centerville, OH 45459 Phone: 937-434-7353 Fax: 937-438-6569 | |
Nicholas D Davis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2350 Miami Valley Dr, Suite 530, Centerville, OH 45459 Phone: 937-435-3546 Fax: 937-435-3568 | |
Dr. Robert T Grossmann, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7073 Clyo Rd, Centerville, OH 45459 Phone: 937-435-5857 Fax: 937-912-4960 | |
Tori Reagan Severs, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1023 S Main St Ste 200, Centerville, OH 45458 Phone: 937-436-3117 Fax: 937-436-0730 | |
Dr. John F Mccarthy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 E Spring Valley Pike, Centerville, OH 45458 Phone: 937-436-3117 Fax: 937-436-0730 | |
Dr. Richard L Greeno Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2200 Miami Valley Dr, Centerville, OH 45459 Phone: 937-436-4658 | |
Anne C Reitz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2350 Miami Valley Dr, Ste 530, Centerville, OH 45459 Phone: 937-435-3546 Fax: 937-435-3568 |