Dr Cory V Trickett, DO is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Bristol, Tennessee. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2006 and has 18 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Dermatology Associates, P.c. and his current practice location is
3183 W State St, Bristol, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 764-7131.
Dr Cory V Trickett is licensed to practice in Tennessee (license number 3466) 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 1922158500.
Physician's Profile
| Full Name | Dr Cory V Trickett |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 18 Years |
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| Location | 3183 W State St, Bristol, Tennessee |
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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. |
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Medical Education and Training:
- Dr Cory V Trickett attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2006
NPI Data:
- NPI Number: 1922158500
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 02/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 1951588524
- Enrollment ID: I20180911001172
Medical Identifiers
Medical identifiers for Dr Cory V Trickett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922158500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 73663 (Georgia) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 10791 (North Dakota) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 3466 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dermatology Associates, P.c. | 3971578816 | 23 |
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 V Trickett allows following entities to bill medicare on his behalf.
| Entity Name | Dermatology Associates, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487695862
PECOS PAC ID: 3971578816
Enrollment ID: O20040901001448 |
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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 V Trickett 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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Dr Cory V Trickett, DO
3551 Roger Brooke Dr, Mche-qd(creds),
San Antonio, TX 78234-4504
Ph: () - | Dr Cory V Trickett, DO
3183 W State St,
Bristol, TN 37620-1712
Ph: (423) 764-7131 |
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