Mr Cody Charles Smith, PA in Meridian, ID - Medicare Physician Assistant

Mr Cody Charles Smith, PA is a medicare enrolled "Physician Assistant" in Meridian, Idaho. He went to Rush Medical College Of Rush University and graduated in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Sutter Valley Medical Foundation and his current practice location is 3277 E Louise Dr Fl 2, Meridian, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 381-7335.

Mr Cody Charles Smith is licensed to practice in Idaho (license number PA-2484) 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 1548892110.

Contact Information

	Mr Cody Charles Smith, PA
	3277 E Louise Dr Fl 2, Meridian, ID 83642-9359
	(208) 381-7335
	(208) 381-7227

Map and Direction

Provider's Profile

Full Name	Mr Cody Charles Smith
Gender	Male
Speciality	Physician Assistant
Experience	5 Years
Location	3277 E Louise Dr Fl 2, Meridian, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Cody Charles Smith attended and graduated from Rush Medical College Of Rush University in 2019

NPI Data:

NPI Number: 1548892110
Provider Enumeration Date: 02/11/2020
Last Update Date: 08/08/2024

Medicare PECOS Information:

PECOS PAC ID: 4486083300
Enrollment ID: I20200327002669

Medical Identifiers

Medical identifiers for Mr Cody Charles Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548892110	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA57810 (California)	Secondary
363AM0700X	Physician Assistant - Medical	PA57810 (California)	Secondary
363A00000X	Physician Assistant	PA-2484 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sutter Auburn Faith Hospital	Auburn, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Valley Medical Foundation	9830094515	1919

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. Mr Cody Charles Smith 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
Mr Cody Charles Smith, PA 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-7335	Mr Cody Charles Smith, PA 3277 E Louise Dr Fl 2, Meridian, ID 83642-9359 Ph: (208) 381-7335

Reviews and Comments

Physician Assistant Nurses in Meridian, ID

Eric Christopher Moss, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way Ste 200, Meridian, ID 83642 Phone: 208-463-3219 Fax: 208-463-3055
Mr. Benjamin Watson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd, Suite 1234, Meridian, ID 83642 Phone: 661-332-9138
Sis E Ostolasa, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3025 W Cherry Lane, Ste B, Meridian, ID 83642 Phone: 208-302-6450 Fax: 208-302-6455
Mr. Alexander J Arhets, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1618 S Millenium Way Ste 100, Meridian, ID 83642 Phone: 208-884-3376 Fax: 208-884-0858
Kayla Faye Cornell, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3655 E Tahiti Dr, Meridian, ID 83646 Phone: 208-631-4385
Sari Bianca Lavarias, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 360 E Montvue Dr, Meridian, ID 83642 Phone: 208-855-2900 Fax: 208-898-9877
Chelsea Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4664 N Penngrove Way Ste 100, Meridian, ID 83646 Phone: 208-452-5999

Mr Cody Charles Smith, PA - Medicare Physician Assistant in Meridian, ID