Cody Evan Whitney, PA-C is a medicare enrolled "Physician Assistant" in Crown Point, New York. His current practice location is
17 Miller Road, Crown Point, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 597-3029.
Cody Evan Whitney is licensed to practice in New York (license number 021661) 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 1275047466.
Provider's Profile
Full Name | Cody Evan Whitney |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 17 Miller Road, Crown Point, New York |
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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: 1275047466
- Provider Enumeration Date: 11/27/2017
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 2163780974
- Enrollment ID: I20171228001573
Medical Identifiers
Medical identifiers for Cody Evan Whitney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275047466 | NPI | - | NPPES |
021661 | Other | NY | NY LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 021661 (New York) | 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. Cody Evan Whitney 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 Evan Whitney, PA-C Po Box 277, Elizabethtown, NY 12932-0277 Ph: (518) 873-9000 | Cody Evan Whitney, PA-C 17 Miller Road, Crown Point, NY 12928-2530 Ph: (518) 597-3029 |
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