Benjamin Scott Odom, LPC/APRN is a medicare enrolled "Nurse Practitioner - Family" provider in Winnie, Texas. His current practice location is
538 Broadway, Winnie, Texas. You can reach out to his office (for appointments etc.) via phone at
(409) 296-6000.
Benjamin Scott Odom is licensed to practice in Texas (license number 1098056) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831320456.
Healthcare Provider's Profile
| Full Name | Benjamin Scott Odom |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 538 Broadway, Winnie, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831320456
- Provider Enumeration Date: 07/30/2009
- Last Update Date: 01/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355718198
- Enrollment ID: I20221107003161
Medical Identifiers
Medical identifiers for Benjamin Scott Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831320456 | NPI | - | NPPES |
| 1098056 | Other | TX | TEXAS LICENSE APRN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 63792 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1098056 (Texas) | 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. Benjamin Scott Odom allows following entities to bill medicare on his behalf.
| Entity Name | Winnie Community Hospital Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295781227
PECOS PAC ID: 3375440894
Enrollment ID: O20031218000349 |
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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. Benjamin Scott 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 |
|---|
Benjamin Scott Odom, LPC/APRN
538 Broadway,
Winnie, TX 77665-7600
Ph: (318) 614-2241 | Benjamin Scott Odom, LPC/APRN
538 Broadway,
Winnie, TX 77665-7600
Ph: (409) 296-6000 |
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