Cody Alan Eversole, MSN-FNP is a
Nurse Practitioner - Family physician based in Pace, Florida. Cody Alan Eversole is licensed to practice in Florida (license number APRN11035706) and his current practice location is 5517 Berry Brook Cir, Pace, Florida. He can be reached at his office (for appointments etc.) via phone at
(520) 236-5279.
NPI number for Cody Alan Eversole is 1902625189 and his current mailing address is 5517 Berry Brook Cir, Pace, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902625189
- Provider Enumeration Date: 10/07/2024
- Last Update Date: 03/14/2025
Medical Identifiers
Medical identifiers for Cody Alan Eversole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902625189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 11035706 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11035706 (Florida) | 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 Alan Eversole is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
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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