Mr Cody Rideout, PA-C is a medicare enrolled "Physician Assistant" in Gilford, New Hampshire. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Concord Hospital-laconia and his current practice location is
14 Maple St, Gilford, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 528-9100.
Mr Cody Rideout is licensed to practice in New Hampshire (license number 1217) 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 1124557913.
Provider's Profile
| Full Name | Mr Cody Rideout |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 14 Maple St, Gilford, New Hampshire |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Cody Rideout graduated from nursing school in 2017
NPI Data:
- NPI Number: 1124557913
- Provider Enumeration Date: 06/06/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456624246
- Enrollment ID: I20170829004227
Medical Identifiers
Medical identifiers for Mr Cody Rideout such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124557913 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | (New Hampshire) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 1217 (New Hampshire) | Secondary |
| 363A00000X | Physician Assistant | 1217 (New Hampshire) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Concord Hospital-laconia | 7012326259 | 207 |
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 Rideout 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 Rideout, PA-C
14 Maple St,
Gilford, NH 03249-6580
Ph: (603) 528-9100 | Mr Cody Rideout, PA-C
14 Maple St,
Gilford, NH 03249-6580
Ph: (603) 528-9100 |
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