| Brian Odom, MD | |
|
850 W Baraga Ave, Marquette, MI 49855-4550 | |
| (906) 449-3000 | |
| Not Available |
| Full Name | Brian Odom |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 9 Years |
| Location | 850 W Baraga Ave, Marquette, Michigan |
| 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 |
|---|---|---|---|
| 1730619354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 4301113025 (Michigan) | Secondary |
| 208800000X | Urology | 4301506770 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upper Peninsula Home Health & Hospice | Marquette, MI | Home health agency |
| Marquette General Hospital | Marquette, MI | Hospital |
| Up Health System Portage | Hancock, MI | Hospital |
| Bell Hospital | Ishpeming, MI | Hospital |
| Osf St Francis Hospital And Medical Group | Escanaba, MI | Hospital |
| Schoolcraft Memorial Hospital | Manistique, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dlp Marquette Physician Practices Inc | 9931359601 | 161 |
| Entity Name | Dlp Marquette Physician Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Odom, MD 850 W Baraga Ave, Marquette, MI 49855-4550 Ph: (906) 449-3000 | Brian Odom, MD 850 W Baraga Ave, Marquette, MI 49855-4550 Ph: (906) 449-3000 |
Michael G Cotant, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 853 W Washington St, Marquette, MI 49855 Phone: 906-255-7918 Fax: 906-225-8764 | |
James H Mering, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1414 W Fair Ave, Suite 242, Marquette, MI 49855 Phone: 906-225-3893 Fax: 906-225-4893 | |
Miles J Mattson, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1414 W Fair Ave, Suite 249, Marquette, MI 49855 Phone: 906-225-7780 Fax: 906-225-4893 |