Glenn Beck, DO
Individual provider Active NPI Family Medicine Physician · Painesville, OH
NPI 1851484752 · NPPES record last updated Dec 19, 2007
Key facts
- NPI
- 1851484752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34006109B (OH)
- Practice address
- 470 Bacon Rd
Painesville, OH 44077-4769 - Phone
- (440) 354-9900
- Fax
- (440) 354-9910
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ashtabula County Medical Center
Practice addresses (Care Compare)
2259 Lake Ave
Ashtabula, OH 44004-3437
Phone (440) 994-7654
Hospital & facility affiliations
- Ashtabula Regional Home Health
- Capital Health Home Care
- Caretenders
- Ashtabula County Medical Center
- Cleveland Clinic
- Hillcrest Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20051109000545 | OH | Practitioner - Family Practice | 2567480445 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34006109B | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashtabula County Medical Center | Current |
Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| University Primary Care Practices Inc | Family Medicine | Past | Accepting new patients |
| Apex Dermatology and Skin Surgery Center, LLC | Past |
Accepting new patients | |
| University Primary Care Practices Inc | Past | Accepting new patients |
Locations
2259 Lake Ave
Ashtabula, OH 44004
Phone (440) 994-7550
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
Interoperability endpoints
- gbeck1243293@direct.ccf.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34006109B | OH | Yes |
Addresses
Primary practice location
470 Bacon Rd
Painesville, OH 44077-4769
Mailing address
PO Box 74928
Cleveland, OH 44194-1011
Phone (216) 383-6776
Other providers in Painesville, OH
- Mary Barsic
- Ann Bartlett
- Aida B Basquinez
- Louis Bastulli
- Kayleigh Baumgartner
- Ryan Beck
- Elizabeth Bena
- Maryann Bencin
- Thomas Bender
- Marcia C Berezin
All providers in Painesville, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2007. 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.