Cody L Eaton, PAC – Physician Assistant in Bath, ME

Key facts

NPI: 1487326104
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: PA2222 (ME)
Practice address: 108 Centre St
Bath, ME 04530-2550
Phone: (207) 386-1800
NPI assigned: Sep 30, 2021
Sex: Male
Sole proprietor: No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Mainehealth Psychiatric Hospital · Westbrook, ME · NPI 1790265502

Medicare reassignment ME
Mainehealth Community/Retail Pharmacy · Portland, ME · NPI 1013868181

NPD
Mainehealth Multi-Specialty Clinic/Center · Biddeford, ME · NPI 1215417019

NPD
Mainehealth Clinic/Center · Portland, ME · NPI 1487346722

NPD (past)
Midcoast Hospital Internal Medicine Physician · Bath, ME · NPI 1083636039

NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Mainehealth General Acute Care Hospital · Brunswick, ME · NPI 1932164795

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2021
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Mainehealth (2,616 clinicians)

Practice addresses (Care Compare)

108 Centre St
Bath, ME 04530-2550

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

Mainehealth Mid Coast Hospital Hospital · Brunswick, ME · CCN 200021

Medicare participation

Medicare fee-for-service enrollment: Enrolled in ME
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20211019001252	ME	Practitioner - Physician Assistant	9032507348	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

Practice roles

Organization	Status	New patients
Mainehealth	Current since Mar 26, 2024	Accepting new patients
Mainehealth	Current since Mar 26, 2024	Accepting new patients
Mainehealth	Past	Accepting new patients
Midcoast Hospital	Past since Mar 3, 2024	Accepting new patients

Locations

108 Centre St
Bath, ME 04530
Phone (207) 386-1800

108 Centre St
#200
Bath, ME 04530
Phone (207) 386-1800

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Interoperability endpoints

Direct secure messaging: ceaton160788@direct.mmc.mainehealth.org

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	PA2222	ME	Yes

Addresses

Primary practice location

108 Centre St
Bath, ME 04530-2550

Mailing address

PO Box 1599
Bangor, ME 04402-1599
Phone (207) 404-8200

Other practice location 1

735 Wilson St
Brewer, ME 04412-1000
Phone (207) 989-1567

Other providers in Bath, ME

All providers in Bath, ME · Physician Assistant in Maine

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.