Dr Penny Sue Gozia, MD - Medicare Obstetrics & Gynecology in Breese, IL

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.

Contact Information

Dr Penny Sue Gozia, MD
9447 Holy Cross Ln,
Breese, IL 62230-3510
(618) 526-2209
(618) 526-7372



Physician's Profile

Full NameDr Penny Sue Gozia
GenderFemale
SpecialityObstetrics & Gynecology
Location9447 Holy Cross Ln, Breese, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1629035076NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & 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 NameSouthern Obstetric & Gyneco Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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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Obstetrics & Gynecology Doctors in Breese, IL

Dr. Bonnie M Gelly, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 9447 Holy Cross Ln, Breese, IL 62230
Phone: 618-526-2209    Fax: 618-526-7372
Dr. Anne Doll-pollard, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 9447 Holy Cross Ln, Breese, IL 62230
Phone: 618-526-2209    Fax: 618-526-7372

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