Dr Codi Guck, DO is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Fargo, North Dakota. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Center For Pain Medicine Pa, Innovis Health Llc and his current practice location is
3000 32nd Ave S Ste 101, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(017) 364-8000.
Dr Codi Guck is licensed to practice in North Dakota (license number 18109) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1790205771.
Physician's Profile
| Full Name | Dr Codi Guck |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 7 Years |
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| Location | 3000 32nd Ave S Ste 101, Fargo, North Dakota |
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| Accepts Medicare Assignments | May be. He 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:
- Dr Codi Guck graduated from medical school in 2017
NPI Data:
- NPI Number: 1790205771
- Provider Enumeration Date: 06/21/2017
- Last Update Date: 05/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 7113291675
- Enrollment ID: I20220524002936
Medical Identifiers
Medical identifiers for Dr Codi Guck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790205771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 18109 (North Dakota) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 18109 (North Dakota) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 18109 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Center For Pain Medicine Pa | 7012131501 | 4 |
| Innovis Health Llc | 9931298155 | 478 |
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 Codi Guck allows following entities to bill medicare on his behalf.
| Entity Name | Innovis Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215125463
PECOS PAC ID: 9931298155
Enrollment ID: O20071211000158 |
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| Entity Name | Center For Pain Medicine Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902217474
PECOS PAC ID: 7012131501
Enrollment ID: O20140625000030 |
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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 Codi Guck 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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Dr Codi Guck, DO
1702 University Dr S,
Fargo, ND 58103-4940
Ph: (017) 364-8000 | Dr Codi Guck, DO
3000 32nd Ave S Ste 101,
Fargo, ND 58103-6132
Ph: (017) 364-8000 |
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