| Jordan J Glenn, DO | |
|
7727 W Deer Valley Rd Ste 220, Peoria, AZ 85382-2121 | |
| (602) 843-8317 | |
| (602) 843-9091 |
| Full Name | Jordan J Glenn |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 7727 W Deer Valley Rd Ste 220, Peoria, Arizona |
| 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 |
|---|---|---|---|
| 1093008237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 006890 (Arizona) | Secondary |
| 208600000X | Surgery | 006890 (Arizona) | Primary |
| 2086S0127X | Surgery - Trauma Surgery | 006890 (Arizona) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allen Foot And Ankle Medicine And Surgery Plc | 0446351332 | 12 |
| Entity Name | Allen Foot And Ankle Medicine And Surgery Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477678704 PECOS PAC ID: 0446351332 Enrollment ID: O20070723000164 |
| Entity Name | Arizona Advanced Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346880838 PECOS PAC ID: 0547690166 Enrollment ID: O20200423000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan J Glenn, DO 7727 W Deer Valley Rd Ste 220, Peoria, AZ 85382-2121 Ph: (602) 843-8317 | Jordan J Glenn, DO 7727 W Deer Valley Rd Ste 220, Peoria, AZ 85382-2121 Ph: (602) 843-8317 |
Dr. Eric L Thomas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 14155 N 83rd Ave Ste A105, Peoria, AZ 85381 Phone: 623-486-7700 Fax: 623-486-7703 | |
Dr. Ankur Janak Shukla, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13640 N Plaza Del Rio Blvd Ste 240, Peoria, AZ 85381 Phone: 602-462-0868 Fax: 602-457-8319 | |
Jon R Hillegas, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 13640 N Plaza Del Rio Blvd, Ste 310, Peoria, AZ 85381 Phone: 623-876-3910 Fax: 623-876-6953 | |
John J Brothwell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9856 W Villa Lindo Dr, Peoria, AZ 85383 Phone: 623-979-4341 | |
Sean Benedict D'souza, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9192 W Union Hills Dr, Peoria, AZ 85382 Phone: 602-374-4101 Fax: 602-441-0522 | |
Stanley J Goldberg, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13640 N Plaza Del Rio Blvd, Ste 310, Peoria, AZ 85381 Phone: 623-876-3910 Fax: 623-285-2612 |