Katherine Marie Glass, is a medicare enrolled "Nurse Practitioner - Family" in Gypsum, Colorado. Her current practice location is
35 Lindbergh Dr Unit 110, Gypsum, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 431-2871.
Katherine Marie Glass is licensed to practice in Colorado (license number 0994749) 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 1407408388.
Provider's Profile
Full Name | Katherine Marie Glass |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 35 Lindbergh Dr Unit 110, Gypsum, Colorado |
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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: 1407408388
- Provider Enumeration Date: 07/11/2019
- Last Update Date: 10/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133450463
- Enrollment ID: I20191017000372
Medical Identifiers
Medical identifiers for Katherine Marie Glass such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407408388 | NPI | - | NPPES |
0994749 | Other | CO | COLORADO APN LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 0994749 (Colorado) | 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. Katherine Marie Glass allows following entities to bill medicare on her behalf.
Entity Name | Valley View Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730897109 PECOS PAC ID: 1850294778 Enrollment ID: O20040129000027 |
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Entity Name | Valley View Hospital Association |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1437271285 PECOS PAC ID: 1850294778 Enrollment ID: O20060127000173 |
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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. Katherine Marie Glass 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 |
Katherine Marie Glass, 626 Lariat Loop, New Castle, CO 81647-9476 Ph: (919) 656-3654 | Katherine Marie Glass, 35 Lindbergh Dr Unit 110, Gypsum, CO 81637-5461 Ph: (970) 431-2871 |
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