| Cody Mygrant, PA | |
|
408 N Hancock Ave, Odessa, TX 79761-5140 | |
| (432) 580-7373 | |
| Not Available |
| Full Name | Cody Mygrant |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 408 N Hancock Ave, Odessa, Texas |
| 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 |
|---|---|---|---|
| 1528435153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Odessa Regional Medical Center | Odessa, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Big Bend Medical Group | 2163326281 | 46 |
| Entity Name | Big Bend Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811973282 PECOS PAC ID: 2163326281 Enrollment ID: O20031120000933 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Mygrant, PA 408 N Hancock Ave, Odessa, TX 79761-5140 Ph: (432) 580-7373 | Cody Mygrant, PA 408 N Hancock Ave, Odessa, TX 79761-5140 Ph: (432) 580-7373 |
Jack K Willis Jr., PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4060 Medical Park Dr # A, Odessa, TX 79765 Phone: 432-582-2882 Fax: 432-582-2884 |
Tina M Butler, P.A-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 E 4th St, Odessa, TX 79761 Phone: 432-580-8686 Fax: 432-582-2302 |
Hanh Hoang Lovitt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 |
Md Moinul Islam, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 6030 W. University, Odessa, TX 79764 Phone: 432-640-6600 Fax: 432-640-4790 |
Madison Cross, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4060 Medical Park Dr, Odessa, TX 79765 Phone: 432-582-2882 Fax: 432-582-2884 |
Mr. Richard L Mittan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4040 Medical Park Dr, Odessa, TX 79765 Phone: 432-333-6603 Fax: 432-333-8014 |
Mrs. Dayna Lavallee, Physician Assistant Medicare: Medicare Enrolled Practice Location: 401 E 6th St, Odessa, TX 79761 Phone: 432-582-2280 |