Cody Hubble, DPT is a medicare enrolled "Physical Therapist" provider in Jonesboro, Illinois. His current practice location is
995 Route 127 South, Jonesboro, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 833-7093.
Cody Hubble is licensed to practice in Illinois (license number 070022209) 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 1588120463.
Healthcare Provider's Profile
Full Name | Cody Hubble |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 995 Route 127 South, Jonesboro, Illinois |
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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: 1588120463
- Provider Enumeration Date: 02/15/2019
- Last Update Date: 02/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 6800218728
- Enrollment ID: I20200623002585
Medical Identifiers
Medical identifiers for Cody Hubble such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588120463 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 070022209 (Illinois) | 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 Hubble allows following entities to bill medicare on his behalf.
Provider Name | Real Rehabilitation Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1912030321 PECOS PAC ID: 2567447584 Enrollment ID: O20040623000041 |
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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 Hubble 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 Hubble, DPT 200 Woods Ln Apt 1, Anna, IL 62906-4178 Ph: (618) 697-4799 | Cody Hubble, DPT 995 Route 127 South, Jonesboro, IL 62952 Ph: (618) 833-7093 |
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