| Dr Jennifer Odren, DO | |
|
29001 Harper Ave, Saint Clair Shores, MI 48081-2711 | |
| (586) 778-0664 | |
| (586) 778-0396 |
| Full Name | Dr Jennifer Odren |
|---|---|
| Gender | Female |
| Speciality | Nephrology |
| Experience | 15 Years |
| Location | 29001 Harper Ave, Saint Clair Shores, Michigan |
| 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 |
|---|---|---|---|
| 1821384249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L1828783 (Michigan) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 5101018974 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Nephrology Center Of Eastpointe Llc | Eastpointe, MI | Dialysis facility |
| Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
| Ascension St John Hospital | Detroit, MI | Hospital |
| Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kidney Care Specialists Of Michigan Pc | 5597940080 | 3 |
| Entity Name | Kidney Care Specialists Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588960298 PECOS PAC ID: 5597940080 Enrollment ID: O20110427000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Odren, DO 48 Fairwood Blvd, Pleasant Ridge, MI 48069-1217 Ph: (586) 362-4224 | Dr Jennifer Odren, DO 29001 Harper Ave, Saint Clair Shores, MI 48081-2711 Ph: (586) 778-0664 |
Jahnavi Chakrala, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 20229 E 9 Mile Rd Ste 200, Saint Clair Shores, MI 48080 Phone: 586-267-0200 Fax: 313-343-4412 | |
Kimberley Demerle, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd Ste 112, Saint Clair Shores, MI 48081 Phone: 586-772-5550 Fax: 877-673-3562 | |
Maridel Aileen Hernandez, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 19603 E 8 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-445-7900 Fax: 586-445-7940 | |
Daniel Shelden, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 23715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 Phone: 586-447-8021 Fax: 586-447-8022 | |
Dr. Demetrios Mermiges, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 19611 E 8 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-772-6850 Fax: 586-772-3810 | |
Zaid Kasmikha, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 24211 Little Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-498-0440 Fax: 586-498-0429 | |
Dr. Marybeth Hardwicke, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 23411 Jefferson Ave, Suite 100, Saint Clair Shores, MI 48080 Phone: 586-778-4080 Fax: 586-778-6055 |