Constance R Tambakis-odom, MD is a medicare enrolled "Anesthesiology" physician in Kenansville, North Carolina. Her current practice location is
401 North Main Street, Kenansville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 296-2738.
Constance R Tambakis-odom is licensed to practice in North Carolina (license number 01414) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093724189.
Physician's Profile
Full Name | Constance R Tambakis-odom |
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Gender | Female |
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Speciality | Anesthesiology |
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Location | 401 North Main Street, Kenansville, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093724189
- Provider Enumeration Date: 08/07/2006
- Last Update Date: 10/19/2007
Medicare PECOS Information:
- PECOS PAC ID: 6002919362
- Enrollment ID: I20070307000500
Medical Identifiers
Medical identifiers for Constance R Tambakis-odom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093724189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 01414 (North Carolina) | 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. Constance R Tambakis-odom allows following entities to bill medicare on her behalf.
Entity Name | Southeast Anesthesiology Consultants Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538124201 PECOS PAC ID: 7719959873 Enrollment ID: O20040809001398 |
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Entity Name | Onslow Anesthesia Associates, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588672844 PECOS PAC ID: 5092753186 Enrollment ID: O20050419001459 |
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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. Constance R Tambakis-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 |
Constance R Tambakis-odom, MD 804 Scott Nixon Memorial Dr, Augusta, GA 30907-2464 Ph: () - | Constance R Tambakis-odom, MD 401 North Main Street, Kenansville, NC 28349 Ph: (910) 296-2738 |
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