Ms Colene Guzman, AGACNP is a medicare enrolled "Clinical Nurse Specialist - Acute Care" in Gold Canyon, Arizona. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
10332 E Fortuna Ave, Gold Canyon, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 283-6589.
Ms Colene Guzman is licensed to practice in Arizona (license number 312411) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1366273617.
Provider's Profile
| Full Name | Ms Colene Guzman |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 10332 E Fortuna Ave, Gold Canyon, Arizona |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Colene Guzman graduated from nursing school in 2024
NPI Data:
- NPI Number: 1366273617
- Provider Enumeration Date: 08/09/2024
- Last Update Date: 08/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012417249
- Enrollment ID: I20250822001328
Medical Identifiers
Medical identifiers for Ms Colene Guzman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366273617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LG0600X | Nurse Practitioner - Gerontology | 312411 (Arizona) | Secondary |
| 364SA2100X | Clinical Nurse Specialist - Acute Care | 312411 (Arizona) | 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 Colene Guzman allows following entities to bill medicare on her behalf.
| Entity Name | Banner Cancer Center Specialists LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518253152
PECOS PAC ID: 6103097779
Enrollment ID: O20110913000224 |
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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. Ms Colene Guzman 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 |
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Ms Colene Guzman, AGACNP
10332 E Fortuna Ave,
Gold Canyon, AZ 85118-7355
Ph: Not Available | Ms Colene Guzman, AGACNP
10332 E Fortuna Ave,
Gold Canyon, AZ 85118-7355
Ph: (602) 283-6589 |
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