Glen E Leer, D.O.
Individual provider Active NPI Family Medicine Physician · Arcadia, IN
NPI 1063505667 · NPPES record last updated May 21, 2019
Key facts
- NPI
- 1063505667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02001252A (IN)
- Practice address
- 204 W. Main Street
Arcadia, IN 46030 - Phone
- (317) 984-8811
- Fax
- (888) 634-3182
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
204 W Main St
Arcadia, IN 46030-0383
Phone (317) 984-8811
Hospital & facility affiliations
- Indiana University Health Tipton Hospital Inc
- Riverview Health
- Ascension St Vincent Mercy
- Community Howard Regional Health Inc.
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051121000616 | IN | Practitioner - Family Practice | 5193744076 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02001252A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Family Medicine, LLC | Family Medicine | Current |
Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
204 W Main St
Arcadia, IN 46030
Phone (317) 984-8811
204 W Main St
#383
Arcadia, IN 46030
Interoperability endpoints
- https://api.platform.athenahealth.com/4695/brand/5/csg/1/fhir/r4
- lakeviewfamilymedicine.glenleer@137717.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02001252A | IN | Yes |
Addresses
Primary practice location
204 W. Main Street
Arcadia, IN 46030
Mailing address
PO Box 383
Arcadia, IN 46030-0383
Phone (317) 984-8811
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4909800001 | Other | IN | MEDICARE DMEPOS |
| 100319180B | Medicaid | IN | |
| 1343052 | Other | IN | FIRST HEALTH |
Other providers in Arcadia, IN
- Elizabeth Fouch
- Hamilton Heights
- Jackson Township Fire Fepartment
- Jackson Township Hamilton County
- Lakeview Family Medicine, LLC
- New Age Healthcare LLC
- Jacquelyn Nordmann
- Gale Lynn Seal
- Allison Snyder
- Alissa Nicole Wallace
All providers in Arcadia, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.