Glenn Eugene Ferguson, PHD in Pueblo, CO - Medicare Clinical Psychologist Provider

Glenn Eugene Ferguson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Pueblo, Colorado. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Meditelecare Of Colorado Llc, Meditelecare Of New Mexico, Llc and his current practice location is 1012 W Abriendo Ave, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 583-2207.

Glenn Eugene Ferguson is licensed to practice in Colorado (license number PSY.0004552) 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 1922391994.

Contact Information

	Glenn Eugene Ferguson, PHD
	1012 W Abriendo Ave, Pueblo, CO 81004-1128
	(719) 583-2207
	(719) 542-9638

Map and Direction

Healthcare Provider's Profile

Full Name	Glenn Eugene Ferguson
Gender	Male
Speciality	Clinical Psychologist
Experience	27 Years
Location	1012 W Abriendo Ave, Pueblo, Colorado
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 Eugene Ferguson graduated from medical school in 1997

NPI Data:

NPI Number: 1922391994
Provider Enumeration Date: 05/24/2011
Last Update Date: 04/10/2018

Medicare PECOS Information:

PECOS PAC ID: 3870771496
Enrollment ID: I20180430000328

Medical Identifiers

Medical identifiers for Glenn Eugene Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922391994	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY.0004552 (Colorado)	Primary
103TC0700X	Psychologist - Clinical	44SI00428700 (New Jersey)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bloomfield Nursing And Rehabilitation Center	Bloomfield, NM	Nursing home
Clayton Nursing And Rehab	Clayton, NM	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Meditelecare Of Colorado Llc	2567888993	4
Meditelecare Of New Mexico, Llc	1254668122	7

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 Eugene Ferguson allows following entities to bill medicare on his behalf.

Entity Name	Meditelecare Of Colorado Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407471774 PECOS PAC ID: 2567888993 Enrollment ID: O20200817002021

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 Eugene Ferguson 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 Eugene Ferguson, PHD 41 Montebello Rd Ste 200, Pueblo, CO 81001-1366 Ph: (719) 545-2746	Glenn Eugene Ferguson, PHD 1012 W Abriendo Ave, Pueblo, CO 81004-1128 Ph: (719) 583-2207

Reviews and Comments

Psychologist in Pueblo, CO

Tiffany Duffing, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1026 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-545-2746 Fax: 719-545-4100
Dr. Salvador Cruz, MD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 128 S-union, Suite C, Pueblo, CO 81003 Phone: 719-543-6988 Fax: 719-542-1290
Dr. Douglas Jones, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 720 N Main St Ste 240, Pueblo, CO 81003 Phone: 719-994-7643 Fax: 719-960-2989
Raymond M. Quinones, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4910
Charles R. Bennett, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4838
Dr. Richard Blair Madsen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 417 W 13th St, Pueblo, CO 81003 Phone: 719-544-0877 Fax: 719-544-2033
Peggy A. Hicks, ED.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4552

Glenn Eugene Ferguson, PHD - Medicare Psychologist in Pueblo, CO