Cynthia L Colglazier, NP is a medicare enrolled "Nurse Practitioner - Family" in Gosport, Indiana. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Indiana University Health Southern Indiana Physicians Llc and her current practice location is
7 E Main St, Gosport, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 879-4222.
Cynthia L Colglazier is licensed to practice in Indiana (license number 71003751) 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 1619245909.
Provider's Profile
Full Name | Cynthia L Colglazier |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 13 Years |
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Location | 7 E Main St, Gosport, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Cynthia L Colglazier graduated from nursing school in 2011
NPI Data:
- NPI Number: 1619245909
- Provider Enumeration Date: 12/01/2011
- Last Update Date: 12/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 5092989012
- Enrollment ID: I20111130000718
Medical Identifiers
Medical identifiers for Cynthia L Colglazier such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619245909 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 71003751 (Indiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Indiana University Health Southern Indiana Physicians Llc | 6204748197 | 449 |
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. Cynthia L Colglazier allows following entities to bill medicare on her behalf.
Entity Name | Indiana University Health Southern Indiana Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
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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. Cynthia L Colglazier 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 |
Cynthia L Colglazier, NP Po Box 1329, Bloomington, IN 47402-1329 Ph: (812) 879-4222 | Cynthia L Colglazier, NP 7 E Main St, Gosport, IN 47433-7034 Ph: (812) 879-4222 |
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