Dr Cory B Maughan, DO - Medicare Dermatology in Providence, UT

Dr Cory B Maughan, DO is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Providence, Utah. He went to Arizona College Of Osteopathic Medicine Mid Western University 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 Integrated Dermatology Of Bountiful Llc, Lp Derm Llc, La Laser Center Pc A Professional Medical Corporation, Epiphany Dermatology Of Montana, Pllc 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.

Contact Information

Dr Cory B Maughan, DO
169 N Gateway Dr Ste 100,
Providence, UT 84332
(541) 999-4475
Not Available



Physician's Profile

Full NameDr Cory B Maughan
GenderMale
SpecialityDermatology
Experience14 Years
Location169 N Gateway Dr Ste 100, Providence, Utah
Accepts Medicare AssignmentsYes. 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 Arizona College Of Osteopathic Medicine Mid Western University 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.
IdentifierTypeStateIssuer
1598086720NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice PG151474 (Oregon)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery 9869105-1204 (Utah)Primary
207N00000XDermatology DO155462 (Oregon)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integrated Dermatology Of Bountiful Llc65079907935
Lp Derm Llc95375338562
La Laser Center Pc A Professional Medical Corporation953718118562
Epiphany Dermatology Of Montana, Pllc95375937109

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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 NameRocky Mountain Dermatology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154527372
PECOS PAC ID: 6002992906
Enrollment ID: O20080318000363

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Entity NameIntegrated Dermatology Of Bountiful Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629396841
PECOS PAC ID: 6507990793
Enrollment ID: O20100810000181

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Entity NameCbm Derm Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568029957
PECOS PAC ID: 9032541693
Enrollment ID: O20191120000665

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Entity NameLp Derm Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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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› Verified 9 days ago


Dermatology Doctors in Providence, UT

Dr. Travis James, DO
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 169 N Gateway Dr Ste 100, Providence, UT 84332
Phone: 435-554-1182    Fax: 435-554-1950

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