Dr Cory Fortson, in Southfield, MI - Medicare Dentist Provider

Dr Cory Fortson, is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Southfield, Michigan. His current practice location is 17600 W 12 Mile Rd Ste 3, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 569-6722.

Dr Cory Fortson is licensed to practice in Michigan (license number 2901021215) 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 1306258280.

Contact Information

	Dr Cory Fortson,
	17600 W 12 Mile Rd Ste 3, Southfield, MI 48076-1910
	(248) 569-6722
	(248) 569-7409

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Cory Fortson
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	17600 W 12 Mile Rd Ste 3, Southfield, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306258280
Provider Enumeration Date: 05/27/2014
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 1052683737
Enrollment ID: I20240607000301

Medical Identifiers

Medical identifiers for Dr Cory Fortson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306258280	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2901021215 (Michigan)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	2901021215 (Michigan)	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 Cory Fortson allows following entities to bill medicare on his behalf.

Entity Name	Fortson Dentistry Milford Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184394249 PECOS PAC ID: 6406398346 Enrollment ID: O20240607000242

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 Cory Fortson 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
Dr Cory Fortson, 17600 W 12 Mile Rd Ste 3, Southfield, MI 48076-1910 Ph: (248) 569-6722	Dr Cory Fortson, 17600 W 12 Mile Rd Ste 3, Southfield, MI 48076-1910 Ph: (248) 569-6722

Reviews and Comments

Dentist in Southfield, MI

Dr. Rana Adel Rabban, Dentist Medicare: Medicare Enrolled Practice Location: 26561 W12 Mile Rd., Suite 105, Southfield, MI 48034 Phone: 248-864-7400
Dr. Donald Boyd Sherman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 28365 Tavistock Trl, Southfield, MI 48034 Phone: 248-352-2681 Fax: 248-352-2681
Harry Thomas Bell, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 24293 Telegraph Rd Ste 212, Southfield, MI 48034 Phone: 248-223-5639 Fax: 248-223-5689
Dr. Faddi Salim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 22180 Ivanhoe Ln, Southfield, MI 48034 Phone: 248-219-7282
Dr. Layan Suleiman, BDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 28411 Northwestern Hwy Ste 115, Southfield, MI 48034 Phone: 248-636-2005 Fax: 248-636-2006
Jeevaka Yapa, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 30555 Greenfield Rd, Southfield, MI 48076 Phone: 248-262-9100 Fax: 248-262-9104
Mr. Nizar Naum Mansour, DDS MS Dentist Medicare: Medicare Enrolled Practice Location: 28437 Greenfield Rd, Suite 101, Southfield, MI 48076 Phone: 248-557-5461 Fax: 248-559-3163

Dr Cory Fortson, - Medicare Dentist in Southfield, MI