Mrs Cody Eccard, PA-C is a medicare enrolled "Physician Assistant" physician in Martinsburg, West Virginia. Her current practice location is
1355 Edwin Miller Blvd, Martinsburg, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 263-6753.
Mrs Cody Eccard is licensed to practice in Virginia (license number 0110-006896) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053829796.
Physician's Profile
Full Name | Mrs Cody Eccard |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1355 Edwin Miller Blvd, Martinsburg, West Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053829796
- Provider Enumeration Date: 01/16/2018
- Last Update Date: 06/19/2020
Medicare PECOS Information:
- PECOS PAC ID: 6305106196
- Enrollment ID: I20220503002074
Medical Identifiers
Medical identifiers for Mrs Cody Eccard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053829796 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 0110-006896 (Virginia) | Secondary |
363A00000X | Physician Assistant | C0006734 (Maryland) | Secondary |
363A00000X | Physician Assistant | 0110-006896 (Virginia) | Primary |
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. Mrs Cody Eccard 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 |
Mrs Cody Eccard, PA-C 14611 Water Company Rd, Cascade, MD 21719-1924 Ph: (240) 675-1154 | Mrs Cody Eccard, PA-C 1355 Edwin Miller Blvd, Martinsburg, WV 25404-3703 Ph: (304) 263-6753 |
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