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MR. GLEN DERRICK TRAMMELL PA-C
NPI 1013130152
Physician Assistant in Chicago, IL

Active since April 10, 2007PECOS Enrolled
1901 W HARRISON ST, CHICAGO, IL 60612(773) 869-7488 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Glen Derrick Trammell Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GLEN DERRICK TRAMMELL PA-C (NPI 1013130152) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085-000875) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013130152
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. GLEN DERRICK TRAMMELLCredential: PA-C
Location Address1901 W HARRISON STChicago, IL 60612-3714
Mailing Address3248 186th StHomewood, IL 60430-2798 · (773) 869-7488
Phone(773) 869-7488
Sole ProprietorNo
Enumeration DateApril 10, 2007
Last NPPES UpdateApril 30, 2021
NPPES CertifiedApril 30, 2021
✔ NPI 1013130152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085-000875
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1901 W HARRISON ST, Chicago, IL 60612
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Glen Derrick Trammell Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHANNA WEFES-POTTER
Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (847) 843-2000
ARON BERHANU GUDETTA MD
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. LIGAYA VILLAFRANCA MARASIGAN M.D.
Obstetrics & Gynecology (Gynecology)
1901 W HARRISON ST
CHICAG, IL 60612
Cook County (312) 864-5901
TIN TIN THOMAS M.D.
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-6000
COOK COUNTY
Pharmacy (Clinic Pharmacy)
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-6189
HELEN ELIZABETH STRAUS MD
Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-0060
JOHN H STROGER, JR. HOSPITAL OF COOK COUNTY
General Acute Care Hospital
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (773) 319-2085
JOSE L ESPINOSA LCSW
Social Worker (Clinical)
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Trammell's NPI number?

The NPI number for Glen Trammell is 1013130152. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Glen Trammell located?

Glen Trammell practices at 1901 W Harrison St, Chicago, IL 60612. The listed phone number is (773) 869-7488.

What is Glen Trammell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Glen Trammell enrolled in Medicare?

Yes. Glen Trammell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glen Trammell was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.