Cody Douglas Spears, is a medicare enrolled "Case Manager/care Coordinator" provider in Fargo, North Dakota. He graduated from healthcare school in 2016 and has 10 years of diverse experience with area of expertise as Mental Health Counselor. His current practice location is
2624 9th Ave S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 298-4500.
Cody Douglas Spears is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1952176208.
Healthcare Provider's Profile
| Full Name | Cody Douglas Spears |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 10 Years |
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| Location | 2624 9th Ave S, Fargo, North Dakota |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Cody Douglas Spears graduated from medical school in 2016
NPI Data:
- NPI Number: 1952176208
- Provider Enumeration Date: 11/16/2023
- Last Update Date: 05/27/2026
Medicare PECOS Information:
- PECOS PAC ID: 2567934466
- Enrollment ID: I20260611002119
Medical Identifiers
Medical identifiers for Cody Douglas Spears such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952176208 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 1365-6-15-24 (North Dakota) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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 Douglas Spears 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 Douglas Spears,
2624 9th Ave S,
Fargo, ND 58103-2350
Ph: (701) 298-4500 | Cody Douglas Spears,
2624 9th Ave S,
Fargo, ND 58103-2350
Ph: (701) 298-4500 |
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