Ms Glendell B Coleman, FNP-C - Medicare Nurse Practitioner in Blakely, GA

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Ms Glendell B Coleman, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Blakely, Georgia. Her current practice location is 11740 Columbia St, Blakely, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 724-4282.

Ms Glendell B Coleman is licensed to practice in Georgia (license number RN094148) 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 1962755421.

Contact Information

Ms Glendell B Coleman, FNP-C
11740 Columbia St,
Blakely, GA 39823-2574
(229) 724-4282
(229) 724-4283

Map and Direction




Provider's Profile

Full NameMs Glendell B Coleman
GenderFemale
SpecialityNurse Practitioner - Family
Location11740 Columbia St, Blakely, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962755421
  • Provider Enumeration Date: 10/22/2012
  • Last Update Date: 10/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4688826514
  • Enrollment ID: I20121128000649

Medical Identifiers

Medical identifiers for Ms Glendell B Coleman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962755421NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN094148 (Georgia)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. Ms Glendell B Coleman allows following entities to bill medicare on her behalf.
Entity NameMiddle Flint Area Community Service Board
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366521932
PECOS PAC ID: 3274426150
Enrollment ID: O20040204000828
Entity NameGeorgia Pines Community Service Board
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366506958
PECOS PAC ID: 5799772844
Enrollment ID: O20040429000631
Entity NameDepartment Of Behavioral Health And Developmental Disabilities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902030307
PECOS PAC ID: 7416002506
Enrollment ID: O20090825000435
Entity NameLifebrite Hospital Group Of Early Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912430224
PECOS PAC ID: 7810263589
Enrollment ID: O20171024003011

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. Ms Glendell B Coleman 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
Ms Glendell B Coleman, FNP-C
11740 Columbia St,
Blakely, GA 39823-2574

Ph: (229) 724-4282		Ms Glendell B Coleman, FNP-C
11740 Columbia St,
Blakely, GA 39823-2574

Ph: (229) 724-4282

Reviews and Comments


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Mrs. Julie Tiner Trawick, NURSE PRACTITIONER
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Practice Location: 11045 Columbia Road, Blakely, GA 39823
Phone: 229-723-4313    Fax: 229-723-3734

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.