Cody R Whitcomb, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Maywood, Illinois. His current practice location is
2160 S 1st Ave, Maywood, Illinois. You can reach out to his office (for appointments etc.) via phone at
(888) 584-7888.
Cody R Whitcomb is licensed to practice in * (Not Available) (license number ) 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 1699424200.
Physician's Profile
| Full Name | Cody R Whitcomb |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2160 S 1st Ave, Maywood, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699424200
- Provider Enumeration Date: 03/21/2022
- Last Update Date: 06/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123407053
- Enrollment ID: I20250609002986
Medical Identifiers
Medical identifiers for Cody R Whitcomb such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699424200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208M00000X | Hospitalist | 036174960 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 R Whitcomb allows following entities to bill medicare on his behalf.
| Entity Name | Northwestern Medical Faculty Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
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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 R Whitcomb 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 R Whitcomb, MD 32 Thomas St, Portland, ME 04102-3638 Ph: () - | Cody R Whitcomb, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (888) 584-7888 |
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