Cory Herzog, DNP,CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Groesbeck, Texas. His current practice location is
701 Mcclintic Dr, Groesbeck, Texas. You can reach out to his office (for appointments etc.) via phone at
(254) 729-3281.
Cory Herzog is licensed to practice in Texas (license number 1130963) 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 1003468190.
Provider's Profile
| Full Name | Cory Herzog |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 701 Mcclintic Dr, Groesbeck, Texas |
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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: 1003468190
- Provider Enumeration Date: 07/10/2019
- Last Update Date: 11/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739525429
- Enrollment ID: I20240318000079
Medical Identifiers
Medical identifiers for Cory Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003468190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 1130963 (Texas) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 647231 (New York) | Secondary |
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. Cory Herzog allows following entities to bill medicare on his behalf.
| Entity Name | South Limestone Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861487779
PECOS PAC ID: 9032103700
Enrollment ID: O20040414000629 |
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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. Cory Herzog 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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Cory Herzog, DNP,CRNA
701 Mcclintic Dr,
Groesbeck, TX 76642-2128
Ph: (254) 729-3281 | Cory Herzog, DNP,CRNA
701 Mcclintic Dr,
Groesbeck, TX 76642-2128
Ph: (254) 729-3281 |
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