Debra Sue Odom, PA in Tulsa, OK - Medicare Physician Assistant

Debra Sue Odom, PA is a medicare enrolled "Physician Assistant - Medical" in Tulsa, Oklahoma. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Southside Dermatology Pllc and her current practice location is 1717a S Utica Ave, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 748-1300.

Debra Sue Odom is licensed to practice in Oklahoma (license number 1340) 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 1316905110.

Contact Information

	Debra Sue Odom, PA
	1717a S Utica Ave, Tulsa, OK 74104
	(918) 748-1300
	(918) 748-1303

Map and Direction

Provider's Profile

Full Name	Debra Sue Odom
Gender	Female
Speciality	Physician Assistant
Experience	21 Years
Location	1717a S Utica Ave, Tulsa, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Debra Sue Odom graduated from nursing school in 2003

NPI Data:

NPI Number: 1316905110
Provider Enumeration Date: 05/02/2006
Last Update Date: 01/08/2014

Medicare PECOS Information:

PECOS PAC ID: 8628067576
Enrollment ID: I20040507000207

Medical Identifiers

Medical identifiers for Debra Sue Odom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316905110	NPI	-	NPPES
200023180A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	1340 (Oklahoma)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southside Dermatology Pllc	9234487554	9

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. Debra Sue 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
Debra Sue Odom, PA 1717a S Utica Ave, Tulsa, OK 74104 Ph: (918) 748-1300	Debra Sue Odom, PA 1717a S Utica Ave, Tulsa, OK 74104 Ph: (918) 748-1300

Reviews and Comments

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Debra Sue Odom, PA - Medicare Physician Assistant in Tulsa, OK