Cory Blake Cruz, PPC in Casper, WY - Medicare Counselor Provider

Cory Blake Cruz, PPC is a medicare enrolled "Counselor - Professional" provider in Casper, Wyoming. His current practice location is 231 S Wilson St, Casper, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 256-3791.

Cory Blake Cruz is licensed to practice in Wyoming (license number PPC-1161) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497391270.

Contact Information

	Cory Blake Cruz, PPC
	231 S Wilson St, Casper, WY 82601-2941
	(307) 256-3791
	(307) 265-4480

Map and Direction

Healthcare Provider's Profile

Full Name	Cory Blake Cruz
Gender	Male
Speciality	Counselor - Professional
Location	231 S Wilson St, Casper, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497391270
Provider Enumeration Date: 11/26/2019
Last Update Date: 11/26/2019

Medicare PECOS Information:

PECOS PAC ID: 0244674166
Enrollment ID: I20240220000808

Medical Identifiers

Medical identifiers for Cory Blake Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497391270	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	PPC-1161 (Wyoming)	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. Cory Blake Cruz allows following entities to bill medicare on his behalf.

Entity Name	S48wy1 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891994950 PECOS PAC ID: 9436474137 Enrollment ID: O20150219002493

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. Cory Blake Cruz 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
Cory Blake Cruz, PPC 231 S Wilson St, Casper, WY 82601-2941 Ph: (307) 256-3791	Cory Blake Cruz, PPC 231 S Wilson St, Casper, WY 82601-2941 Ph: (307) 256-3791

Reviews and Comments

Counselor in Casper, WY

Miss Jane Elizabeth Matthews, M.S., P.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277
Daniel J Gallegos, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3395 Micro Rd, Casper, WY 82601 Phone: 307-262-9961
Heather Paige Thomas, MA, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 940 E 3rd St Ste 212, Casper, WY 82601 Phone: 307-577-3050
Emily Kathrine Engel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 940 E 3rd St Ste 104, Casper, WY 82601 Phone: 307-462-4876 Fax: 307-337-3492
Mrs. Martha Jane Carter, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277
Michelle Grissom, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277
Mr. Scott Alan Stinson, BSW, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 Payne Ave, Casper, WY 82609 Phone: 307-267-4626

Cory Blake Cruz, PPC - Medicare Counselor in Casper, WY