Amani Odom, in Ontario, CA - Medicare Social Worker Provider

Amani Odom, is a medicare enrolled "Social Worker - Clinical" provider in Ontario, California. Her current practice location is 3281 E Guasti Rd Ste 440, Ontario, California. You can reach out to her office (for appointments etc.) via phone at (909) 323-7100.

Amani Odom is licensed to practice in California (license number 114538) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306561584.

Contact Information

	Amani Odom,
	3281 E Guasti Rd Ste 440, Ontario, CA 91761-7635
	(909) 323-7100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amani Odom
Gender	Female
Speciality	Social Worker - Clinical
Location	3281 E Guasti Rd Ste 440, Ontario, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306561584
Provider Enumeration Date: 10/10/2022
Last Update Date: 10/04/2024

Medicare PECOS Information:

PECOS PAC ID: 7315484805
Enrollment ID: I20240801002626

Medical Identifiers

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

Identifier	Type	State	Issuer
1306561584	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	114538 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amani Odom allows following entities to bill medicare on her behalf.

Entity Name	Marsell Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700597036 PECOS PAC ID: 2961947015 Enrollment ID: O20240712001371

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. Amani 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
Amani Odom, 1135 S Highland Ave, Los Angeles, CA 90019-1751 Ph: (323) 938-3058	Amani Odom, 3281 E Guasti Rd Ste 440, Ontario, CA 91761-7635 Ph: (909) 323-7100

Reviews and Comments

Social Worker in Ontario, CA

Miss Veronica J Camacho, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2940 Inland Empire Blvd, Ontario, CA 91764 Phone: 909-458-1316
Carlos Galvan Morales, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 980 W 6th St Ste 124, Ontario, CA 91762 Phone: 909-648-8075
Mrs. Kimberly A Esse, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 737 N Via Dolcetto, Ontario, CA 91764 Phone: 909-266-7442
Samantha Navarro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1515 S Bon View Ave, Ontario, CA 91761 Phone: 909-930-6793
Ms. Josefina Sierra, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 317 W F St, Ontario, CA 91762 Phone: 909-986-7111
Angela Nguyen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3753 S Green Ave, Ontario, CA 91761 Phone: 909-319-7694
Olga Avitia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1419 N Orange Pl, Ontario, CA 91764 Phone: 951-295-9392

Amani Odom, - Medicare Clinical Social Worker in Ontario, CA