Bethany L Glaser, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085003660 Issued in IL

Practice address

834 N Seminary St
Suite 402
Galesburg, IL 61401-2852

Phone

(309) 343-5117

Fax

(309) 343-0029

NPI assigned

Nov 18, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Graham Hospital AssociationGroup PAC ID 2769375021, 124 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Graham Hospital Association Hospital, Canton, IL, CCN 140001
• St Mary Medical Center Hospital, Galesburg, IL, CCN 140064
• Graham Hospital Association Hospital, Canton, IL, CCN 141356
• Carle Health Methodist Hospital Hospital, Peoria, IL, CCN 140209
• Osf Holy Family Medical Center Hospital, Monmouth, IL, CCN 141318

Merit-based Incentive Payment System (MIPS)

Final score

83.26 of 100Reported as group

Quality

62.57

Promoting interoperability

100

Improvement activities

40

Cost

77.37

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Graham Hospital Association

  • Critical Access Hospital
  • Canton, IL
  • NPI 1780692087

  IL

  Medicare reassignment Care Compare group NPD
• Graham Hospital Association

  • Rural Health Clinic/Center
  • Glasford, IL
  • NPI 1104604529
  NPD
• Graham Hospital Association

  • Internal Medicine Physician
  • Galesburg, IL
  • NPI 1710845854
  NPD
• Graham Hospital Association

  • Rural Health Clinic/Center
  • Elmwood, IL
  • NPI 1093288797
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Graham Hospital Association

  • Critical Access Hospital
  • Canton, IL
  • NPI 1154117521

  Hospital

  Care Compare affiliation
• Methodist Medical Center of Illinois

  • General Acute Care Hospital
  • Peoria, IL
  • NPI 1164474755

  Hospital

  Care Compare affiliation
• Osf Healthcare System

  • Critical Access Hospital
  • Monmouth, IL
  • NPI 1548393184

  Hospital

  Care Compare affiliation
• St Mary Medical Center

  • General Acute Care Hospital
  • Galesburg, IL
  • NPI 1164485363

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1386972016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 N SEMINARY ST",
            "address_2": "SUITE 402",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012852",
            "telephone_number": "309-343-5117",
            "fax_number": "309-343-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SEMINARY ST",
            "address_2": "SUITE 402",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012852",
            "telephone_number": "309-343-5117",
            "fax_number": "309-343-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "BETHANY",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085003660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Sue Gerling, MS-CCC, SLP
• Michael Gernant, MD
• Jennifer Ghekiere-Dacus, MSN, APRN, AGACNP-BC
• Zoie Gilbertson, LPN
• Megan Gingerich
• Janice Glasnovich, PT
• Heather Godsil, APN
• Cassandra Goforth, MHP
• Gregory Golter
• Nichole Renae Gomez, MS-SLP

• All providers in Galesburg, IL
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.