Individual ProviderCodie BinghamNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address640 E 700 S Ste 105, Saint George, UT 84770-7094(435) 688-7770PECOS EnrollmentBased on the most recent information from CMS, provider Codie Bingham is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1265080154Provider TypeIndividualFull NameBingham, CodieCredentialAPRNGenderMaleSole ProprietorNoEnumeration Date9/3/2019Last Updated9/5/2019Contact InformationPractice LocationPractice Address640 E 700 S Ste 105, Saint George, UT 84770-7094Phone(435) 688-7770FaxUnlisted FaxMailing LocationMailing Address640 E 700 S Ste 105, Saint George, UT 84770-7094PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense9331398-4405Utah