Cody Durbin, is a medicare enrolled "Nurse Practitioner - Family" physician in Elizabethtown, Kentucky. His current practice location is
3040 Dolphin Dr, Elizabethtown, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 737-4715.
Cody Durbin is licensed to practice in Kentucky (license number 4025038) 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 1598571077.
Physician's Profile
| Full Name | Cody Durbin |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3040 Dolphin Dr, Elizabethtown, Kentucky |
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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: 1598571077
- Provider Enumeration Date: 12/09/2024
- Last Update Date: 04/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 5799206827
- Enrollment ID: I20250305003640
Medical Identifiers
Medical identifiers for Cody Durbin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598571077 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 4025038 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4025038 (Kentucky) | 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 Durbin allows following entities to bill medicare on his behalf.
| Entity Name | Kiosk Medicine Kentucky Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205885035
PECOS PAC ID: 6002887510
Enrollment ID: O20040805001127 |
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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 Durbin 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 Durbin,
Po Box 932958,
Cleveland, OH 44193-0028
Ph: () - | Cody Durbin,
3040 Dolphin Dr,
Elizabethtown, KY 42701-7125
Ph: (270) 737-4715 |
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