Cody C Davis, PA-C - Medicare Physician Assistant in Indian Head, MD

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Cody C Davis, PA-C is a medicare enrolled "Physician Assistant" in Indian Head, Maryland. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Emergency Physicians Of Tidewater and his current practice location is 4141 W Wilson Rd Bldg 1600, Indian Head, Maryland. You can reach out to his office (for appointments etc.) via phone at (310) 744-1059.

Cody C Davis is licensed to practice in Arizona (license number 5198) 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 1912257536.

Contact Information

Cody C Davis, PA-C
4141 W Wilson Rd Bldg 1600,
Indian Head, MD 20640-5162
(310) 744-1059
Not Available

Map and Direction




Provider's Profile

Full NameCody C Davis
GenderMale
SpecialityPhysician Assistant
Experience14 Years
Location4141 W Wilson Rd Bldg 1600, Indian Head, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Cody C Davis graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1912257536
  • Provider Enumeration Date: 09/11/2012
  • Last Update Date: 04/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2668623976
  • Enrollment ID: I20250721004194

Medical Identifiers

Medical identifiers for Cody C Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912257536NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5198 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Physicians Of Tidewater5092618462167

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 C Davis allows following entities to bill medicare on his behalf.
Entity NameEmergency Medicine Associates P.A., P.C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376917070
PECOS PAC ID: 8022914522
Enrollment ID: O20031208000283
Entity NameEmergency Physicians of Tidewater
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033136841
PECOS PAC ID: 5092618462
Enrollment ID: O20040202000195

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 C Davis 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 AddressPractice Location Address
Cody C Davis, PA-C
4141 W Wilson Rd Bldg 1600,
Indian Head, MD 20640-5162

Ph: Not Available		Cody C Davis, PA-C
4141 W Wilson Rd Bldg 1600,
Indian Head, MD 20640-5162

Ph: (310) 744-1059

Reviews and Comments


Physician Assistant Nurses in Indian Head, MD

Ms. Monica L Bilik, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 101 Strauss Ave Bldg 901, Indian Head, MD 20640
Phone: 301-744-1027    Fax: 310-744-1028
Edgar Antonio Escobar, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 399 Strauss Avenue, Suite 219, Indian Head, MD 20640
Phone: 301-744-4624    
Jason Scott Reynolds, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3399 Strauss Ave Ste 219, Indian Head, MD 20640
Phone: 720-350-6011    
Mr. Kevin F Kelley Sr., PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 101 Strauss Ave, Cbirf, 2nd Mef, Indian Head, MD 20640
Phone: 301-744-1004    Fax: 301-744-1028
Danielle Whitacre, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4141 W Wilson Rd Bldg 1600, Indian Head, MD 20640
Phone: 301-744-4604    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.