Dr Penny Sue Gozia, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Breese, Illinois. Her current practice location is
9447 Holy Cross Ln, Breese, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 526-2209.
Dr Penny Sue Gozia is licensed to practice in Illinois (license number 036063583) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629035076.
Physician's Profile
| Full Name | Dr Penny Sue Gozia |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 9447 Holy Cross Ln, Breese, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629035076
- Provider Enumeration Date: 04/28/2006
- Last Update Date: 05/04/2011
Medicare PECOS Information:
- PECOS PAC ID: 1658336847
- Enrollment ID: I20041130000469
Medical Identifiers
Medical identifiers for Dr Penny Sue Gozia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629035076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 036063583 (Illinois) | Primary |
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 Penny Sue Gozia allows following entities to bill medicare on her behalf.
| Entity Name | Southern Obstetric & Gyneco Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467419804
PECOS PAC ID: 7315902509
Enrollment ID: O20041130000387 |
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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 Penny Sue Gozia 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 Penny Sue Gozia, MD
9447 Holy Cross Ln,
Breese, IL 62230-3510
Ph: (618) 526-2209 | Dr Penny Sue Gozia, MD
9447 Holy Cross Ln,
Breese, IL 62230-3510
Ph: (618) 526-2209 |
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