Mr Cory A Tepus, is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Rootstown, Ohio. His current practice location is
4211 Oh-44, Rootstown, Ohio. You can reach out to his office (for appointments etc.) via phone at
(234) 867-7676.
Mr Cory A Tepus is licensed to practice in Ohio (license number 0032700) 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 1962101980.
Physician's Profile
| Full Name | Mr Cory A Tepus |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Gerontology |
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| Location | 4211 Oh-44, Rootstown, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962101980
- Provider Enumeration Date: 02/28/2023
- Last Update Date: 03/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830555671
- Enrollment ID: I20230519002103
Medical Identifiers
Medical identifiers for Mr Cory A Tepus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962101980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 0032700 (Ohio) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 0032700 (Ohio) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 0032700 (Ohio) | 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. Mr Cory A Tepus allows following entities to bill medicare on his behalf.
| Entity Name | Summa Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235167719
PECOS PAC ID: 2961303532
Enrollment ID: O20040116000295 |
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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. Mr Cory A Tepus 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 |
|---|
Mr Cory A Tepus,
1450 Forest Dr,
Barberton, OH 44203-7636
Ph: (330) 612-5804 | Mr Cory A Tepus,
4211 Oh-44,
Rootstown, OH 44272
Ph: (234) 867-7676 |
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