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Cody Keith Hoff

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

221 Michigan St NE Ste 200, Grand Rapids, MI 49503-2533

PECOS Enrollment

This provider is enrolled in PECOS as CODY HOFF.

Based on the most recent information from CMS, provider Cody Keith Hoff is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:37 AM.

Profile Details

Provider ID
1770027344
Provider Type
Individual
Full Name
Hoff, Cody Keith
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
12/15/2016
Last Updated
3/9/2021

Contact Information

Practice Location

221 Michigan St NE Ste 200, Grand Rapids, MI 49503-2533

(616) 267-8950

Unlisted Fax

Mailing Location

100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer Michigan

Cody Keith Hoff

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Calkins, Laura Elizabeth

Keintz, Keasha

Loyd, Benjamin P

O'Rourke, Lois Anne

Debano, Christopher M

Lacourt, Ethan J

Charleston, Mary Elizabeth

Stewart, Samantha Diane

Shaw, Emily Noelle

Mankivsky, Lauren