Dr Micheal A Odle, MD | |
3851 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-4501 | |
(210) 916-3935 | |
Not Available |
Full Name | Dr Micheal A Odle |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 23 Years |
Location | 3851 Roger Brooke Dr, Fort Sam Houston, 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 |
---|---|---|---|
1386619369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 84064 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Conway Medical Center | Conway, SC | Hospital |
Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Conway Hospital Inc | 7113839606 | 98 |
Rapid Radiology Inc | 2062734858 | 57 |
Rapid Radiology Inc | 2062734858 | 57 |
Rapid Radiology Inc | 2062734858 | 57 |
Entity Name | Conway Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134172000 PECOS PAC ID: 7113839606 Enrollment ID: O20031201000111 |
Mailing Address | Practice Location Address |
---|---|
Dr Micheal A Odle, MD 300 Singleton Ridge Road, Attention Patient Accounting, Conway, SC 29526-9142 Ph: (843) 234-6946 | Dr Micheal A Odle, MD 3851 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-4501 Ph: (210) 916-3935 |
Dr. Rosemary Chacko, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 Fax: 210-916-5102 | |
Andre John Ognibene, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Mche-qd (creds), Fort Sam Houston, TX 78234 Phone: 210-916-5993 | |
Christopher Paul Irwin, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 916-210-2338 | |
Gilbert Patrick Ancira, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4808 | |
Sarah Dang, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-7074 | |
Dr. Raul A. Rivera, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Brooke Army Medical Center Mche-qd (credentials), Fort Sam Houston, TX 78234 Phone: 210-916-2460 | |
Dr. Leslie Ann Wood, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3551 Rogers Brooke Drive, San Antonio Military Medical Center, Fort Sam Houston, TX 78234 Phone: 210-916-9844 |