| Brandon Odom, | |
|
2401 S 31st St, Ms-11-ag062, Temple, TX 76508-0001 | |
| (254) 724-5815 | |
| (254) 724-0408 |
| Full Name | Brandon Odom |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 13 Years |
| Location | 2401 S 31st St, Temple, 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 |
|---|---|---|---|
| 1679917413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | Q2814 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | BP10047336 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Texas Emergency Physicians Pllc | 8527420306 | 154 |
| Mother Frances Hospital Regional Health Care Center | 9234025636 | 111 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Mother Frances Hospital Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
| Entity Name | Mother Frances Hospital Regional Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Beaumont Emergency Medicine Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881716983 PECOS PAC ID: 1951402767 Enrollment ID: O20070724000328 |
| Entity Name | Century Integrated Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
| Entity Name | Northeast Texas Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114607611 PECOS PAC ID: 8527420306 Enrollment ID: O20230810001225 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Odom, 2401 S 31st St, Ms-11-ag062, Temple, TX 76508-0001 Ph: (254) 724-5815 | Brandon Odom, 2401 S 31st St, Ms-11-ag062, Temple, TX 76508-0001 Ph: (254) 724-5815 |
Lucas Mark Alexander, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Baylor Scott & White Medical Center-temple, 2401 S 31st, Ms-11-ag062, Temple, TX 76508 Phone: 254-724-5815 | |
Amanda Zelinski, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Victoria Schneider Klovenski, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Van Steven Mask, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1901 Sw H K Dodgen Loop, Temple, TX 76502 Phone: 254-771-8600 | |
Dr. Robert D. Greenberg, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. Caleb Cadis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Dept Of Emergency Medicine 2401 S 31st St, Ms-11-ag062, Temple, TX 76508 Phone: 254-724-5815 | |
Marie Allyson Manning, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Sw H K Dodgen Loop, Temple, TX 76502 Phone: 254-724-5437 Fax: 254-935-4111 |