Dr Cory Lynn Dietz, MD in Woodland Park, CO

Dr Cory Lynn Dietz, MD is a medicare enrolled "Family Medicine" physician in Woodland Park, Colorado. His current practice location is 700 W Us Highway 24, Woodland Park, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 522-1133.

Dr Cory Lynn Dietz is licensed to practice in Colorado (license number DR.0053528) 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 1508825753.

Contact Information

	Dr Cory Lynn Dietz, MD
	700 W Us Highway 24, Woodland Park, CO 80863-8975
	(719) 522-1133
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Cory Lynn Dietz
Gender	Male
Speciality	Family Medicine
Location	700 W Us Highway 24, Woodland Park, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508825753
Provider Enumeration Date: 03/17/2006
Last Update Date: 02/19/2024

Medicare PECOS Information:

PECOS PAC ID: 1153491568
Enrollment ID: I20160107000750

Medical Identifiers

Medical identifiers for Dr Cory Lynn Dietz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508825753	NPI	-	NPPES
3064089	Medicaid	IA
28530250	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	28289 (Iowa)	Secondary
207Q00000X	Family Medicine	DR.0053528 (Colorado)	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. Dr Cory Lynn Dietz allows following entities to bill medicare on his behalf.

Entity Name	Poudre Valley Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122

Entity Name	Optumcare Colorado Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407252828 PECOS PAC ID: 2769706431 Enrollment ID: O20150129000413

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 Lynn Dietz 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 Lynn Dietz, MD 2 S Cascade Ave Ste 140, Colorado Springs, CO 80903-1604 Ph: (719) 538-2900	Dr Cory Lynn Dietz, MD 700 W Us Highway 24, Woodland Park, CO 80863-8975 Ph: (719) 522-1133

Reviews and Comments

Family Medicine Doctors in Woodland Park, CO

Randolph Lee James, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 403 S Baldwin Street, Woodland Park, CO 80863 Phone: 719-686-7776 Fax: 719-355-1927
Michael E Kinne, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 818 Misty Pines Cir, Woodland Park, CO 80863 Phone: 719-351-9767
Dr. John R. Torrent, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16222 W Us Highway 24 Ste 200, Woodland Park, CO 80863 Phone: 719-686-0878 Fax: 719-686-7331
Muthanna Yacoub, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16222 W Us Highway 24 Ste 200, Woodland Park, CO 80863 Phone: 719-686-0878 Fax: 719-365-7885
Dr. Randall G Hoffman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W Us Highway 24, Woodland Park, CO 80863 Phone: 719-522-1133 Fax: 719-687-8919
Dr. Thurman 'bud' Forest Hodge, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W South Ave, Suite 9029, Woodland Park, CO 80866 Phone: 719-464-2049 Fax: 719-687-3891

Dr Cory Lynn Dietz, MD - Medicare Family Medicine in Woodland Park, CO