| Cody A Ezolt, PA-C | |
|
601 E Main St, Waynesboro, PA 17268-2332 | |
| (717) 765-5088 | |
| (717) 765-5066 |
| Full Name | Cody A Ezolt |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 601 E Main St, Waynesboro, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154983757 | NPI | - | NPPES |
| 103650235 | Medicaid | PA | |
| 14497750 | Other | CAQH | |
| MA060824 | Other | PA | PA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | MA060824 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heritage Valley Beaver | Beaver, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Heritage Valley Multispecialty Group Inc | 0042105678 | 232 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody A Ezolt, PA-C 785 5th Ave Ste 3, Chambersburg, PA 17201-4232 Ph: (717) 263-9555 | Cody A Ezolt, PA-C 601 E Main St, Waynesboro, PA 17268-2332 Ph: (717) 765-5088 |
Dennis Dolsen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 E Main St, Waynesboro, PA 17268 Phone: 717-765-5085 Fax: 717-765-5066 | |
Emily Long, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 601 E Main St, Waynesboro, PA 17268 Phone: 301-797-9240 | |
Kevin Michael Sanders, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 E Main St, Waynesboro, PA 17268 Phone: 717-765-3400 Fax: 717-765-3408 | |
Deborah M Sarvis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 E Main St, Waynesboro, PA 17268 Phone: 717-765-5088 Fax: 717-765-5066 | |
Melanie Ann Hobbs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 E Main St Level 3, Waynesboro, PA 17268 Phone: 717-765-5087 Fax: 717-765-5070 | |
Edward T Schuurman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 E Main St, Waynesboro, PA 17268 Phone: 717-765-5085 Fax: 717-765-5066 |