| Carol M Odegaard, MD | |
|
261 Brookwood Ave, Jackson, GA 30233-1460 | |
| (678) 752-0555 | |
| (678) 752-0556 |
| Full Name | Carol M Odegaard |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 261 Brookwood Ave, Jackson, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700876554 | NPI | - | NPPES |
| 000752166S | Medicaid | GA | |
| 202I083605 | Other | GA | CMOMDPC IND MCARE # |
| P00708556 | Other | GA | RAILROAD MEDICARE |
| 000752166U | Other | GA | CMOMDPC IND MCAID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 40495 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Piedmont Newton Hospital | Covington, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Medical Care Corporation | 6002802220 | 327 |
| Entity Name | Piedmont Medical Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20040422001500 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol M Odegaard, MD 261 Brookwood Ave, Jackson, GA 30233-1460 Ph: (678) 752-0555 | Carol M Odegaard, MD 261 Brookwood Ave, Jackson, GA 30233-1460 Ph: (678) 752-0555 |
Peter Izzo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1502 W 3rd St, Jackson, GA 30233 Phone: 678-774-0430 Fax: 770-775-3410 | |
Bennie R. White Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 794 Mcdonough Rd, Suite 105, Jackson, GA 30233 Phone: 770-775-2341 Fax: 770-775-3668 | |
Jorge Luis Moreno Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 Mcdonough Rd, Jackson, GA 30233 Phone: 770-775-4622 Fax: 770-775-4132 | |
Aleta Maria Gardner, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2978 Highway 36 W, Jackson, GA 30233 Phone: 770-504-2168 Fax: 770-504-2140 | |
Nicole Pritchett Jimerson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1502 W 3rd St, Jackson, GA 30233 Phone: 678-774-0430 Fax: 770-775-3410 | |
Dr. Latora Williams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1502 W 3rd St, Jackson, GA 30233 Phone: 770-914-0116 |