Carl Irwin Odom, MD - Medicare Diagnostic Radiology in Boise, ID

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Carl Irwin Odom, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Boise, Idaho. He went to University Of Alabama School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Boise Radiology Group Pllc and his current practice location is 620 W Hays St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 381-2094.

Carl Irwin Odom is licensed to practice in Texas (license number T0301) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740523513.

Contact Information

Carl Irwin Odom, MD
620 W Hays St,
Boise, ID 83702-5511
(208) 381-2094
(208) 381-1791

Map and Direction




Physician's Profile

Full NameCarl Irwin Odom
GenderMale
SpecialityDiagnostic Radiology
Experience11 Years
Location620 W Hays St, Boise, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carl Irwin Odom attended and graduated from University Of Alabama School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1740523513
  • Provider Enumeration Date: 03/31/2013
  • Last Update Date: 09/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8628216769
  • Enrollment ID: I20231027001797

Medical Identifiers

Medical identifiers for Carl Irwin Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740523513NPI-NPPES
371653203MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology T0301 (Texas)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital
St Luke's Nampa Medical CenterNampa, IDHospital
St Luke's Wood River Medical CenterKetchum, IDHospital
St Luke's Elmore Medical CenterMountain home, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Boise Radiology Group Pllc963815325753

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. Carl Irwin Odom allows following entities to bill medicare on his behalf.
Entity NameBoise Radiology Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740216175
PECOS PAC ID: 9638153257
Enrollment ID: O20040614000277
Entity NameWeiser Valley Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255364030
PECOS PAC ID: 5294704276
Enrollment ID: O20050124000126
Entity NameAustin Radiological Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033196464
PECOS PAC ID: 4880686179
Enrollment ID: O20240301002489

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. Carl Irwin 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 AddressPractice Location Address
Carl Irwin Odom, MD
12554 Riata Vista Cir,
Austin, TX 78727-6431

Ph: (512) 795-5100		Carl Irwin Odom, MD
620 W Hays St,
Boise, ID 83702-5511

Ph: (208) 381-2094

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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