Dr Gustavo A Colmenares, MD is a medicare enrolled "Emergency Medicine" physician in Mint Hill, North Carolina. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Colorado Complete Urgent Care Physicians Llc and his current practice location is
10545 Blair Rd, Suite 1200, Mint Hill, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 863-9600.
Dr Gustavo A Colmenares is licensed to practice in Colorado (license number DR.0056015) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972587467.
Physician's Profile
| Full Name | Dr Gustavo A Colmenares |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 28 Years |
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| Location | 10545 Blair Rd, Mint Hill, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Gustavo A Colmenares graduated from medical school in 1996
NPI Data:
- NPI Number: 1972587467
- Provider Enumeration Date: 11/30/2005
- Last Update Date: 02/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022191741
- Enrollment ID: I20170803000767
Medical Identifiers
Medical identifiers for Dr Gustavo A Colmenares such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972587467 | NPI | - | NPPES |
| 5910201 | Medicaid | NC | |
| 312959 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | DR.0056015 (Colorado) | Secondary |
| 207Q00000X | Family Medicine | 31295 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 2008-01450 (North Carolina) | Secondary |
| 207P00000X | Emergency Medicine | DR.0056015 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Colorado Complete Urgent Care Physicians Llc | 4981988953 | 7 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Gustavo A Colmenares allows following entities to bill medicare on his behalf.
| Entity Name | Prowers County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821052929
PECOS PAC ID: 4486568508
Enrollment ID: O20031113000509 |
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| Entity Name | Colorado Complete Urgent Care Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801339585
PECOS PAC ID: 4981988953
Enrollment ID: O20170313000845 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gustavo A Colmenares is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gustavo A Colmenares, MD
Po Box 602478,
Charlotte, NC 28260-2478
Ph: (704) 863-9600 | Dr Gustavo A Colmenares, MD
10545 Blair Rd, Suite 1200,
Mint Hill, NC 28227-2800
Ph: (704) 863-9600 |
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