Bethany Engblom, DO - Medicare Family Practice in Fort Collins, CO

Bethany Engblom, DO is a medicare enrolled "Family Medicine" physician in Fort Collins, Colorado. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Summitstone Health Partners and her current practice location is 4856 Innovation Dr, Fort Collins, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 494-4200.

Bethany Engblom is licensed to practice in Colorado (license number DR.0045697) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134383516.

Contact Information

Bethany Engblom, DO
4856 Innovation Dr,
Fort Collins, CO 80525-5539
(970) 494-4200
(970) 613-4475

Map and Direction




Physician's Profile

Full NameBethany Engblom
GenderFemale
SpecialityFamily Practice
Experience15 Years
Location4856 Innovation Dr, Fort Collins, Colorado
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bethany Engblom graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1134383516
  • Provider Enumeration Date: 07/15/2008
  • Last Update Date: 07/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3274679220
  • Enrollment ID: I20161004000152

Medical Identifiers

Medical identifiers for Bethany Engblom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134383516NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DR.0045697 (Colorado)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summitstone Health Partners428452714465

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. Bethany Engblom allows following entities to bill medicare on her behalf.
Entity NameSummitstone Health Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821552738
PECOS PAC ID: 4284527144
Enrollment ID: O20040204000768
Entity NameSunrise Community Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902005382
PECOS PAC ID: 0648164780
Enrollment ID: O20040329001864

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. Bethany Engblom 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
Bethany Engblom, DO
4856 Innovation Dr,
Fort Collins, CO 80525-5539

Ph: (970) 494-4200
Bethany Engblom, DO
4856 Innovation Dr,
Fort Collins, CO 80525-5539

Ph: (970) 494-4200

Reviews and Comments


Family Medicine Doctors in Fort Collins, CO

Dr. Shannon D Evans, DO
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Phone: 970-305-0101    
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Jessica A. Guiroy, MD
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Dr. Kyle Nathan Hampton, D.O.
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Dr. April K Gray, M.D.
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Phone: 970-494-4531    Fax: 970-494-4538
Jan Hester, M.D
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Medicare: Not Enrolled in Medicare
Practice Location: 1120 E Elizabeth #g1, Fort Collins, CO 80524
Phone: 970-493-2776    Fax: 970-493-2772
Scarlet Sparkuhl Delia, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 3519 Richmond Dr, Fort Collins, CO 80526
Phone: 970-204-0300    Fax: 970-226-9041

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.