Cody Alan Eversole, MSN-FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Pace, Florida. His current practice location is
5517 Berry Brook Cir, Pace, Florida. You can reach out to his office (for appointments etc.) via phone at
(520) 236-5279.
Cody Alan Eversole is licensed to practice in Florida (license number APRN11035706) 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 1902625189.
Physician's Profile
| Full Name | Cody Alan Eversole |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 5517 Berry Brook Cir, Pace, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902625189
- Provider Enumeration Date: 10/07/2024
- Last Update Date: 03/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 5890211767
- Enrollment ID: I20250424000980
Medical Identifiers
Medical identifiers for Cody Alan Eversole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902625189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 11035706 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11035706 (Florida) | 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 Alan Eversole allows following entities to bill medicare on his behalf.
| Entity Name | Physician Services Group Of Florida, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235775396
PECOS PAC ID: 7719314830
Enrollment ID: O20200228001953 |
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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 Alan Eversole 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 |
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Cody Alan Eversole, MSN-FNP
5517 Berry Brook Cir,
Pace, FL 32571-6320
Ph: (520) 236-5279 | Cody Alan Eversole, MSN-FNP
5517 Berry Brook Cir,
Pace, FL 32571-6320
Ph: (520) 236-5279 |
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