| Cody Shafer, MD | |
|
1907 W Sycamore St # 200, Kokomo, IN 46901-5148 | |
| (765) 236-8170 | |
| Not Available |
| Full Name | Cody Shafer |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 10 Years |
| Location | 1907 W Sycamore St # 200, Kokomo, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730561291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 01083629A (Indiana) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | 11018165A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension At Home | Anderson, IN | Home health agency |
| Ascension St Vincent Kokomo | Kokomo, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent Medical Group Inc | 7012047640 | 673 |
| Entity Name | St Vincent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Shafer, MD 1907 W Sycamore St # 200, Kokomo, IN 46901-5148 Ph: () - | Cody Shafer, MD 1907 W Sycamore St # 200, Kokomo, IN 46901-5148 Ph: (765) 236-8170 |
Mohammad R Nekoomaram, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3512 S Lafountain St, Kokomo, IN 46902 Phone: 765-865-6633 Fax: 765-865-6634 | |
Dr. Jason C Watters, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3510 S Lafountain St, Kokomo, IN 46902 Phone: 765-776-3100 Fax: 765-453-8165 | |
Aaron Jon Legrand, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1907 W Sycamore St Ste 200, Kokomo, IN 46901 Phone: 765-236-8170 | |
Dr. Courtney Allen Holland, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3512 S Lafountain St, Kokomo, IN 46902 Phone: 765-776-3100 Fax: 765-453-8165 | |
Clifford J Evans, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3512 S Lafountain St, Kokomo, IN 46902 Phone: 765-776-3100 Fax: 765-453-8165 | |
Thomas M. Reilly, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 821 N Dixon Rd, Kokomo, IN 46901 Phone: 765-450-0111 Fax: 765-553-5504 |