Caitlin Odom, PA-C is a medicare enrolled "Physician Assistant" in Mayfield, Kentucky. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Pinelake Physician Practice Llc and her current practice location is
1111 Medical Center Cir, Mayfield, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 251-4527.
Caitlin Odom is licensed to practice in Florida (license number PA9107229) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154767960.
Provider's Profile
| Full Name | Caitlin Odom |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 11 Years |
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| Location | 1111 Medical Center Cir, Mayfield, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Caitlin Odom graduated from nursing school in 2013
NPI Data:
- NPI Number: 1154767960
- Provider Enumeration Date: 05/20/2013
- Last Update Date: 09/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 2668613373
- Enrollment ID: I20220725001739
Medical Identifiers
Medical identifiers for Caitlin Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154767960 | NPI | - | NPPES |
| P01204898 | Other | FL | R&R MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA9107229 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pinelake Physician Practice Llc | 6800797507 | 36 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Caitlin Odom is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Caitlin Odom, PA-C
504 E College St,
Mayfield, KY 42066-2814
Ph: (734) 478-9611 | Caitlin Odom, PA-C
1111 Medical Center Cir,
Mayfield, KY 42066-1194
Ph: (270) 251-4527 |
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