Colline N Gusse, PA is a medicare enrolled "Physician Assistant" in Ashton, Illinois. Her current practice location is
1107 S Division Ave, Ksb Medical Group, Ashton, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 453-1212.
Colline N Gusse is licensed to practice in Illinois (license number ) 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 1295706505.
Provider's Profile
Full Name | Colline N Gusse |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1107 S Division Ave, Ashton, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295706505
- Provider Enumeration Date: 01/27/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 5092831081
- Enrollment ID: I20100928000256
Medical Identifiers
Medical identifiers for Colline N Gusse such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295706505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (Illinois) | Primary |
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. Colline N Gusse 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 |
Colline N Gusse, PA Po Box 247, Ksb Medical Group, Ashton, IL 61006-0247 Ph: (815) 453-1212 | Colline N Gusse, PA 1107 S Division Ave, Ksb Medical Group, Ashton, IL 61006-0247 Ph: (815) 453-1212 |
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