David Devaul Odineal, MD in Fort Campbell, KY

David Devaul Odineal, MD is a medicare enrolled "Internal Medicine" physician in Fort Campbell, Kentucky. His current practice location is 7973 W Destiny Blvd, Fort Campbell, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 798-4677.

David Devaul Odineal is licensed to practice in Tennessee (license number 65771) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023539160.

Contact Information

	David Devaul Odineal, MD
	7973 W Destiny Blvd, Fort Campbell, KY 42223-5429
	(270) 798-4677
	Not Available

Map and Direction

Physician's Profile

Full Name	David Devaul Odineal
Gender	Male
Speciality	Internal Medicine
Location	7973 W Destiny Blvd, Fort Campbell, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023539160
Provider Enumeration Date: 06/28/2017
Last Update Date: 09/19/2022

Medicare PECOS Information:

PECOS PAC ID: 7719393321
Enrollment ID: I20230328000038

Medical Identifiers

Medical identifiers for David Devaul Odineal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023539160	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	7462220 (Wisconsin)	Secondary
207R00000X	Internal Medicine	65771 (Tennessee)	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. David Devaul Odineal allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571

Entity Name	App Of Tennessee Hm, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396160768 PECOS PAC ID: 5395960694 Enrollment ID: O20140630001088

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. David Devaul Odineal 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
David Devaul Odineal, MD 7973 W Destiny Blvd, Fort Campbell, KY 42223-5429 Ph: (270) 798-4677	David Devaul Odineal, MD 7973 W Destiny Blvd, Fort Campbell, KY 42223-5429 Ph: (270) 798-4677

Reviews and Comments

Internal Medicine Doctors in Fort Campbell, KY

Dr. Robert Burroughs Coutant, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 Phone: 270-461-1562
Dr. David Bruce Williams, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-4677 Fax: 931-645-4705
Dr. Mohamed Moataz Toban, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-412-5122
Dr. Driscoll Augustine, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-956-4635 Fax: 828-372-4650
Dr. Thomas Peter Dove, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8820
Dr. Ian L Ferguson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400
Dr. Jennifer Linnea Bell, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Blanchfield Army Community Hospital, 650 Joel Dr., Fort Campbell, KY 42223 Phone: 270-798-8372 Fax: 270-956-0180

David Devaul Odineal, MD - Medicare Internal Medicine in Fort Campbell, KY