Dr Gwynn Antonson, DO - Medicare Family Practice in Pueblo, CO

Dr Gwynn Antonson, DO is a medicare enrolled "Family Medicine" physician in Pueblo, Colorado. She went to Kansas City University Of Physicians And Surgeons and graduated in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice University Family Medicine Center, P.c. and her current practice location is 4020 Jerry Murphy Rd, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 546-3600.

Dr Gwynn Antonson is licensed to practice in Colorado (license number 0050578) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700043692.

Contact Information

Dr Gwynn Antonson, DO
4020 Jerry Murphy Rd,
Pueblo, CO 81001-1045
(719) 546-3600
(719) 546-0931

Map and Direction




Physician's Profile

Full NameDr Gwynn Antonson
GenderFemale
SpecialityFamily Practice
Experience16 Years
Location4020 Jerry Murphy Rd, Pueblo, Colorado
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Gwynn Antonson attended and graduated from Kansas City University Of Physicians And Surgeons in 2008
  NPI Data:
  • NPI Number: 1700043692
  • Provider Enumeration Date: 05/19/2008
  • Last Update Date: 05/16/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2567622103
  • Enrollment ID: I20130717000834

Medical Identifiers

Medical identifiers for Dr Gwynn Antonson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700043692NPI-NPPES
65425871MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0050578 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mary Corwin Med Ctr, Centura HealthPueblo, COHospital
Parkview Medical Center, IncPueblo, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Family Medicine Center, P.c.97391578275

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 Gwynn Antonson allows following entities to bill medicare on her behalf.
Entity NameUniversity Family Medicine Center, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295807543
PECOS PAC ID: 9739157827
Enrollment ID: O20040916001247

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 Gwynn Antonson 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 AddressPractice Location Address
Dr Gwynn Antonson, DO
4020 Jerry Murphy Rd,
Pueblo, CO 81001-1045

Ph: (719) 546-3600
Dr Gwynn Antonson, DO
4020 Jerry Murphy Rd,
Pueblo, CO 81001-1045

Ph: (719) 546-3600

Reviews and Comments


Family Medicine Doctors in Pueblo, CO

Dr. Camila Teresa Robles, DO
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Practice Location: 902 Lakeview Ave, Pueblo, CO 81004
Phone: 719-557-5872    
Dr. Queenter Kisang, MD
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Phone: 719-553-1804    Fax: 833-916-2047
Steven Nafziger, MD
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Practice Location: 1619 N Greenwood St, Suite 204, Pueblo, CO 81003
Phone: 719-544-1551    Fax: 719-544-1493
Dr. Dana G Riley, MD
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Practice Location: 300 Colorado Ave, Pueblo, CO 81004
Phone: 719-543-8711    Fax: 719-543-5340
Dr. Terry Liefde, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 902 Lakeview Ave, Pueblo, CO 81004
Phone: 719-557-5855    Fax: 719-557-5097
Spencer Bruce Hegerhorst, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 902 Lakeview Ave, Pueblo, CO 81004
Phone: 719-557-5872    Fax: 719-557-4780
Dr. Scott Alan Deruiter, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 109 S Burlington Dr, Pueblo, CO 81007
Phone: 719-553-2205    Fax: 833-314-0183

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.