| Janet A Odondi, MD | |
|
350 Boulevard, Passaic, NJ 07055-2840 | |
| (973) 779-7361 | |
| (973) 779-7385 |
| Full Name | Janet A Odondi |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 32 Years |
| Location | 350 Boulevard, Passaic, New Jersey |
| 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 |
|---|---|---|---|
| 1730164302 | NPI | - | NPPES |
| 0083143 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 25MA07912300 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Regional Medical Center Everett | Everett, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Wa Anesthesia Services, Pc | 9335298884 | 84 |
| Entity Name | Providence Wa Anesthesia Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669615894 PECOS PAC ID: 9335298884 Enrollment ID: O20090513000135 |
| Mailing Address | Practice Location Address |
|---|---|
| Janet A Odondi, MD Po Box 1258, Clifton, NJ 07012-0758 Ph: (973) 779-7361 | Janet A Odondi, MD 350 Boulevard, Passaic, NJ 07055-2840 Ph: (973) 779-7361 |
Dr. Chang J Lee, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-779-7361 Fax: 973-779-7385 | |
Dr. John Anthony Vullo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-365-4410 | |
Dr. Michael E. Rhodes, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 165 Amsterdam Ave, Passaic, NJ 07055 Phone: 973-336-9459 Fax: 973-883-0144 | |
Dr. Sujatha Sukhavasi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-365-4300 Fax: 845-357-5777 | |
Dr. Ravi Kumar Venkataraman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-779-7361 Fax: 973-779-7385 | |
Dariusz J Nasiek, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-365-4300 | |
Nandi Lee-ellis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-365-4300 Fax: 845-357-5777 |