Dr Cory B Maughan, DO is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Providence, Utah. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2010 and has 14 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Lp Derm Llc, South Lincoln Hospital District, Epiphany Dermatology Of Montana, Pllc, Epiphany Dermatology Of Oklahoma Llc and his current practice location is
169 N Gateway Dr Ste 100, Providence, Utah. You can reach out to his office (for appointments etc.) via phone at
(541) 999-4475.
Dr Cory B Maughan is licensed to practice in Utah (license number 9869105-1204) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598086720.
Physician's Profile
Full Name | Dr Cory B Maughan |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 14 Years |
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Location | 169 N Gateway Dr Ste 100, Providence, Utah |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Cory B Maughan attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2010
NPI Data:
- NPI Number: 1598086720
- Provider Enumeration Date: 06/22/2010
- Last Update Date: 02/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022339183
- Enrollment ID: I20160818002585
Medical Identifiers
Medical identifiers for Dr Cory B Maughan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598086720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | PG151474 (Oregon) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 9869105-1204 (Utah) | Primary |
207N00000X | Dermatology | DO155462 (Oregon) | Secondary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Lp Derm Llc | 9537533856 | 2 |
South Lincoln Hospital District | 2961490057 | 11 |
Epiphany Dermatology Of Montana, Pllc | 9537593710 | 10 |
Epiphany Dermatology Of Oklahoma Llc | 5597042903 | 6 |
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 B Maughan allows following entities to bill medicare on his behalf.
Entity Name | Rocky Mountain Dermatology Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154527372 PECOS PAC ID: 6002992906 Enrollment ID: O20080318000363 |
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Entity Name | Cbm Derm Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568029957 PECOS PAC ID: 9032541693 Enrollment ID: O20191120000665 |
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Entity Name | Lp Derm Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538875786 PECOS PAC ID: 9537533856 Enrollment ID: O20230628003192 |
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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 Cory B Maughan 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 B Maughan, DO 7300 Ranch Road 2222, Bldg 1, Ste 200, Austin, TX 78730-3255 Ph: (512) 759-8932 | Dr Cory B Maughan, DO 169 N Gateway Dr Ste 100, Providence, UT 84332 Ph: (541) 999-4475 |
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