Dr Marty Wayne Odom, MD in Clarksville, TN - Medicare Internal Medicine

Dr Marty Wayne Odom, MD is a medicare enrolled "Internal Medicine" physician in Clarksville, Tennessee. He went to University Of Kentucky College Of Medicine and graduated in 1999 and has 27 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Southeastern Emergency Physicians Llc, Pinelake Physician Practice Llc and his current practice location is 490 Dunlop Ln, Clarksville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 245-7000.

Dr Marty Wayne Odom is licensed to practice in Tennessee (license number 75415) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265520662.

Contact Information

	Dr Marty Wayne Odom, MD
	490 Dunlop Ln, Clarksville, TN 37040-5007
	(931) 245-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Marty Wayne Odom
Gender	Male
Speciality	Internal Medicine
Experience	27 Years
Location	490 Dunlop Ln, Clarksville, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Marty Wayne Odom attended and graduated from University Of Kentucky College Of Medicine in 1999

NPI Data:

NPI Number: 1265520662
Provider Enumeration Date: 10/11/2006
Last Update Date: 12/29/2025

Medicare PECOS Information:

PECOS PAC ID: 7719943737
Enrollment ID: I20220720001511

Medical Identifiers

Medical identifiers for Dr Marty Wayne Odom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265520662	NPI	-	NPPES
P01109190	Other	FL	R&R MEDICARE
266818100	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	ME82596 (Florida)	Secondary
207R00000X	Internal Medicine	75415 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jackson Purchase Medical Center	Mayfield, KY	Hospital
Baptist Health Paducah	Paducah, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Emergency Physicians Llc	2466364997	627
Pinelake Physician Practice Llc	6800797507	38

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 Marty Wayne Odom allows following entities to bill medicare on his behalf.

Entity Name	Pinelake Physician Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295960532 PECOS PAC ID: 6800797507 Enrollment ID: O20040115001094

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285

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 Marty Wayne 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
Dr Marty Wayne Odom, MD Po Box 3799, Clarksville, TN 37043-3799 Ph: (931) 245-7000	Dr Marty Wayne Odom, MD 490 Dunlop Ln, Clarksville, TN 37040-5007 Ph: (931) 245-7000

Reviews and Comments

Internal Medicine Doctors in Clarksville, TN

Oba Hashim Hollie, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 511 8th St, Clarksville, TN 37040 Phone: 931-245-3580 Fax: 931-201-5868
Jigar Kanubhai Shah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 274 Clear Sky Ct, Clarksville Cancer Care, Clarksville, TN 37043 Phone: 931-802-8056 Fax: 931-802-8059
Dr. Fausta Ditah, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 647 Dunlop Ln Ste 210, Clarksville, TN 37040 Phone: 931-502-3810 Fax: 931-502-3815
Nathan Lidsky, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1481 Hollis Rdg, Clarksville, TN 37043 Phone: 847-987-2121
Dr. Sriram Krishnasamy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 298 Clear Sky Ct, Suite B, Clarksville, TN 37043 Phone: 931-542-2647 Fax: 931-542-2648
Vernon M Carrigan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 490 Dunlop Ln, Clarksville, TN 37040 Phone: 931-245-8300 Fax: 931-245-8360
Chandrakanta D Nawathe, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 490 Dunlop Ln, Clarksville, TN 37040 Phone: 931-245-8600 Fax: 931-245-8660

Dr Marty Wayne Odom, MD - Medicare Internal Medicine in Clarksville, TN