Cody Cleveland, in West Springfield, MA - Medicare Nurse Practitioner

Cody Cleveland, is a medicare enrolled "Nurse Practitioner - Acute Care" in West Springfield, Massachusetts. His current practice location is 86 Ashley Ave, West Springfield, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (413) 693-2852.

Cody Cleveland is licensed to practice in Massachusetts (license number RN2343882) 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 1801643416.

Contact Information

	Cody Cleveland,
	86 Ashley Ave, West Springfield, MA 01089-1302
	(413) 693-2852
	Not Available

Map and Direction

Provider's Profile

Full Name	Cody Cleveland
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	86 Ashley Ave, West Springfield, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801643416
Provider Enumeration Date: 05/01/2024
Last Update Date: 08/21/2024

Medicare PECOS Information:

PECOS PAC ID: 8123553286
Enrollment ID: I20241126002078

Medical Identifiers

Medical identifiers for Cody Cleveland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801643416	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN2343882 (Massachusetts)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	RN2343882 (Massachusetts)	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. Cody Cleveland allows following entities to bill medicare on his behalf.

Entity Name	Holyoke Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750395737 PECOS PAC ID: 2163419383 Enrollment ID: O20040429000312

Entity Name	Western Mass Physician Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922009547 PECOS PAC ID: 5799767109 Enrollment ID: O20040601000909

Entity Name	S Lowell Kahn Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598216921 PECOS PAC ID: 1153602990 Enrollment ID: O20170110000907

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. Cody Cleveland 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
Cody Cleveland, 20 Riverbank Rd, Northampton, MA 01060-2506 Ph: (413) 387-9727	Cody Cleveland, 86 Ashley Ave, West Springfield, MA 01089-1302 Ph: (413) 693-2852

Reviews and Comments

Nurse Practitioner Nurses in West Springfield, MA

Ashley Bullen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Myron St, Suite A, West Springfield, MA 01089 Phone: 413-592-1980 Fax: 413-439-0100
Alicia Lee Michonski, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 373 Park St, West Springfield, MA 01089 Phone: 413-734-1001
Heather Ashley Lomax, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 Daggett Dr, West Springfield, MA 01089 Phone: 413-794-9110 Fax: 413-794-1080
Ms. Jessica Marie Lafleche, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 Daggett Dr, West Springfield, MA 01089 Phone: 413-794-9110 Fax: 413-794-1080
Mary Louise Ritter, A.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 46 Daggett Dr, Suite 3b, West Springfield, MA 01089 Phone: 413-747-4544
Chelsea Skaza, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 50 Union St, West Springfield, MA 01089 Phone: 413-732-0040 Fax: 413-732-7007
Jorge Stuart Carrillo, DNP - FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 54 New Bridge St, West Springfield, MA 01089 Phone: 413-335-9948

Cody Cleveland, - Medicare Nurse Practitioner in West Springfield, MA