| Glenn Eugene Ferguson, PHD | |
|
206 S Coronado Ave, Espanola, NM 87532-2792 | |
| (860) 788-6404 | |
| Not Available |
| Full Name | Glenn Eugene Ferguson |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 29 Years |
| Location | 206 S Coronado Ave, Espanola, New Mexico |
| 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 |
|---|---|---|---|
| 1922391994 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bloomfield Nursing And Rehabilitation Center | Bloomfield, NM | Nursing home |
| Clayton Nursing And Rehab Center | Clayton , NM | Nursing home |
| Spring River Rehabilitation And Care Center | Roswell, NM | Nursing home |
| St. Anthony Healthcare And Rehabilitation Center | Clovis, NM | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Meditelecare Of Colorado Llc | 2567888993 | 3 |
| Meditelecare Of New Mexico, Llc | 1254668122 | 7 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Eugene Ferguson, PHD Po Box 1595, Middletown, CT 06457-8095 Ph: (860) 788-6404 | Glenn Eugene Ferguson, PHD 206 S Coronado Ave, Espanola, NM 87532-2792 Ph: (860) 788-6404 |
Dr. Lana R. Landrum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 243 Los Alamos Hwy, Espanola, NM 87532 Phone: 505-753-0773 Fax: 505-753-0775 |
Stacey Romick-imig, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 405 Hunter St, Espanola, NM 87532 Phone: 505-367-3342 |
Angelic Herrera, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 405 Hunter St, Espanola, NM 87532 Phone: 505-367-3301 |
Dr. Diane Thompson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 Onate St, Espanola, NM 87532 Phone: 505-927-1727 |
Mrs. Jerilyn H Silver, MA MSW Psychologist Medicare: Accepting Medicare Assignments Practice Location: 600 East Fairview Lane, Espanola, NM 87532 Phone: 505-984-2241 Fax: 505-455-2058 |
Rebecca Trujillo, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Spruce St, Espanola, NM 87532 Phone: 505-747-7400 |
Dr. Alice E. Meador, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 714 Calle Don Diego, Espanola, NM 87532 Phone: 505-367-3342 Fax: 505-367-3361 |