| Cody Evan Whitney, PA-C | |
|
17 Miller Road, Crown Point, NY 12928-2530 | |
| (518) 597-3029 | |
| Not Available |
| Full Name | Cody Evan Whitney |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 17 Miller Road, Crown Point, New York |
| 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 |
|---|---|---|---|
| 1275047466 | NPI | - | NPPES |
| 021661 | Other | NY | NY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 021661 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essex County Nursing Service | Elizabethtown, NY | Home health agency |
| Hcr / Hcr Home Care Chha (plattsburgh) | Plattsburgh, NY | Home health agency |
| Elizabethtown Community Hospital | Elizabethtown, NY | Hospital |
| Adirondack Medical Center - Saranac Lake | Saranac lake, NY | Hospital |
| The University Of Vermont Health Network - Champl | Plattsburgh, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elizabethtown Community Hospital | 3577554138 | 62 |
| Entity Name | Elizabethtown Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053656744 PECOS PAC ID: 3577554138 Enrollment ID: O20040521000534 |
| Entity Name | Elizabethtown Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1891785184 PECOS PAC ID: 3577554138 Enrollment ID: O20101110000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Evan Whitney, PA-C Po Box 277, Elizabethtown, NY 12932-0277 Ph: (518) 873-9000 | Cody Evan Whitney, PA-C 17 Miller Road, Crown Point, NY 12928-2530 Ph: (518) 597-3029 |