Cody Glenn White, DO is a medicare enrolled "Family Medicine" physician in Northlake, Texas. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Stillwater Hospital Association Inc and his current practice location is
1610 Commons Cir, Northlake, Texas. You can reach out to his office (for appointments etc.) via phone at
(682) 212-9086.
Cody Glenn White is licensed to practice in Texas (license number W4993) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528477213.
Physician's Profile
| Full Name | Cody Glenn White |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 12 Years |
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| Location | 1610 Commons Cir, Northlake, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Cody Glenn White graduated from medical school in 2014
NPI Data:
- NPI Number: 1528477213
- Provider Enumeration Date: 08/06/2014
- Last Update Date: 06/24/2026
Medicare PECOS Information:
- PECOS PAC ID: 0042586505
- Enrollment ID: I20260513004356
Medical Identifiers
Medical identifiers for Cody Glenn White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528477213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | OT016148 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | W4993 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Stillwater Hospital Association Inc | 6406889815 | 26 |
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 Glenn White 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 Glenn White, DO
Po Box 959,
Columbus, MT 59019-0959
Ph: (406) 322-1000 | Cody Glenn White, DO
1610 Commons Cir,
Northlake, TX 76226-1546
Ph: (682) 212-9086 |
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