Dr Jeffrey Douglas O'dell, MD in Warsaw, IN

Dr Jeffrey Douglas O'dell, MD is a medicare enrolled "Pediatrics" physician in Warsaw, Indiana. His current practice location is 1355 Mariners Dr, Warsaw, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 267-6778.

Dr Jeffrey Douglas O'dell is licensed to practice in Indiana (license number 01084702A) 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 1336129378.

Contact Information

	Dr Jeffrey Douglas O'dell, MD
	1355 Mariners Dr, Warsaw, IN 46582-7145
	(574) 267-6778
	(574) 267-3134

Map and Direction

Physician's Profile

Full Name	Dr Jeffrey Douglas O'dell
Gender	Male
Speciality	Pediatrics
Location	1355 Mariners Dr, Warsaw, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336129378
Provider Enumeration Date: 01/17/2006
Last Update Date: 04/20/2023

Medicare PECOS Information:

PECOS PAC ID: 1759520380
Enrollment ID: I20210413000785

Medical Identifiers

Medical identifiers for Dr Jeffrey Douglas O'dell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336129378	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0101232521 (Virginia)	Secondary
208000000X	Pediatrics	01084702A (Indiana)	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. Dr Jeffrey Douglas O'dell allows following entities to bill medicare on his behalf.

Entity Name	Parkview Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288

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. Dr Jeffrey Douglas O'dell 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
Dr Jeffrey Douglas O'dell, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Dr Jeffrey Douglas O'dell, MD 1355 Mariners Dr, Warsaw, IN 46582-7145 Ph: (574) 267-6778

Reviews and Comments

Pediatrics Doctors in Warsaw, IN

Mamata Eagam, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 902 Provident Drive, Suite A, Warsaw, IN 46580 Phone: 574-269-8338 Fax: 574-269-8339
Dr. Todd Allen Dillon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 902 Provident Dr, Suite A, Warsaw, IN 46580 Phone: 574-269-8338 Fax: 574-269-8339
Dr. Anita I Kishan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2219 Dubois Dr, Warsaw, IN 46580 Phone: 574-269-3420 Fax: 574-269-2234
Dr. Miry Lisbeth Lanphere, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1355 Mariners Dr, Warsaw, IN 46582 Phone: 574-267-6778 Fax: 574-267-3134
Dr. Charles Lee Hill Iii, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1355 Mariners Dr, Warsaw, IN 46582 Phone: 574-267-6778 Fax: 574-267-3134

Dr Jeffrey Douglas O'dell, MD - Medicare Pediatrics in Warsaw, IN