MEDICARE: GLEN E LEER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	02001252A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4909800001	OTHER	IN	MEDICARE DMEPOS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1343052	OTHER	IN	FIRST HEALTH

General Provider Information

NPI Number	:	1063505667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLEN E LEER D.O.

Provider Business Mailing Address
First Line	:	PO BOX 383
Second Line	:
City	:	ARCADIA
State	:	IN
Zip	:	46030-0383
Country	:	US
Telephone Number	:	317-984-8811
Fax Number	:	317-984-5862

Provider Business Practice Location Address
First Line	:	204 W. MAIN STREET
Second Line	:
City	:	ARCADIA
State	:	IN
Zip	:	46030
Country	:	US
Telephone Number	:	317-984-8811
Fax Number	:	888-634-3182

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	05/21/2019

Similar Medicare Providers

1508851007 — NEW AGE HEALTHCARE LLC
Practice Location Address:

303 FRANKLIN AVE
ARCADIA, IN
46030-9644

Practice Phone: 317-984-9321
Practice Fax: 317-984-1620

1144244179 — MRS. ALISSA NICOLE WALLACE P.T.
Practice Location Address:

25590 CORNELL RD
ARCADIA, IN
46030-9612

Practice Phone: 317-697-5759
Practice Fax:

1063691624 — HAMILTON HEIGHTS
Practice Location Address:

410 WEST MAIN STREET
ARCADIA, IN
46030

Practice Phone: 317-984-3538
Practice Fax:

1528241940 — ELIZABETH FOUCH NP
Practice Location Address:

4949 E 246TH ST
ARCADIA, IN
46030

Practice Phone: 608-290-2225
Practice Fax:

1730347626 — MRS. GALE LYNN SEAL M.A., CCC/SLP
Practice Location Address:

14689 E 256TH ST
ARCADIA, IN
46030-9401

Practice Phone: 317-691-2619
Practice Fax:

1649415852 — MRS. MARCIA KAY BARRETT L.P.N
Practice Location Address:

300 N CHURCH ST.
ARCADIA, IN
46030-0571

Practice Phone: 131-798-4480
Practice Fax:

Directions to “ GLEN E LEER D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.