| Geoffrey Lyle Odom, MD | |
|
15790 Paul Vega Md Dr, Finance Department, Hammond, LA 70403-1434 | |
| (985) 230-1369 | |
| (985) 230-1368 |
| Full Name | Geoffrey Lyle Odom |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 30 Years |
| Location | 15790 Paul Vega Md Dr, Hammond, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295767218 | NPI | - | NPPES |
| 07972078 | Medicaid | MS | |
| 1492418 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD.023178 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mobile Infirmary Medical Center | Mobile, AL | Hospital |
| Thomas Hospital | Fairhope, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baldwin Emergency Physicians, P.c.. | 4688627946 | 45 |
| Entity Name | Baldwin Emergency Physicians, P.c.. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154378271 PECOS PAC ID: 4688627946 Enrollment ID: O20050225000807 |
| Entity Name | Rose Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841823432 PECOS PAC ID: 9830528017 Enrollment ID: O20200409001738 |
| Entity Name | Urgent Care 59 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093415671 PECOS PAC ID: 6002274925 Enrollment ID: O20230623002674 |
| Mailing Address | Practice Location Address |
|---|---|
| Geoffrey Lyle Odom, MD Po Box 2668, Hammond, LA 70404-2668 Ph: (985) 230-1369 | Geoffrey Lyle Odom, MD 15790 Paul Vega Md Dr, Finance Department, Hammond, LA 70403-1434 Ph: (985) 230-1369 |
Dr. Mark Evans Haile, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-230-1332 Fax: 985-230-1334 | |
Dr. Matthew Thomas Bernard, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700 Fax: 985-230-2072 | |
Dr. Thomas Alfred Reinecke, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 15790 Paul Vega Md Dr, Revenue Management Department, Hammond, LA 70403 Phone: 985-230-1682 Fax: 985-230-1617 | |
Rachel Elizabeth Shard, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-230-1300 | |
Elizabeth Clair, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700 | |
James Wilkinson, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700 Fax: 985-230-6480 | |
Richard Wayne Foster, Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1900 S Morrison Blvd, Hammond, LA 70403 Phone: 985-230-5726 Fax: 985-230-5683 |