John Odom, MD - Medicare Family Practice in Minnetonka, MN

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John Odom, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in Minnetonka, Minnesota. He went to University Of Colorado School Of Medicine, Denver and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Odom Sports Medicine Pa and his current practice location is 10653 Wayzata Blvd Ste 200, Minnetonka, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 224-1919.

John Odom is licensed to practice in Minnesota (license number 44235) 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 1215953732.

Contact Information

John Odom, MD
10653 Wayzata Blvd Ste 200,
Minnetonka, MN 55305-1543
(952) 224-1919
Not Available

Map and Direction




Physician's Profile

Full NameJohn Odom
GenderMale
SpecialityFamily Practice
Experience25 Years
Location10653 Wayzata Blvd Ste 200, Minnetonka, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • John Odom attended and graduated from University Of Colorado School Of Medicine, Denver in 1999
  NPI Data:
  • NPI Number: 1215953732
  • Provider Enumeration Date: 07/15/2006
  • Last Update Date: 06/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3274502455
  • Enrollment ID: I20040927000127

Medical Identifiers

Medical identifiers for John Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215953732NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 44235 (Minnesota)Primary
207P00000XEmergency Medicine 44235 (Minnesota)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Odom Sports Medicine Pa014348560749

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. John Odom allows following entities to bill medicare on his behalf.
Entity NameCcm Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720086028
PECOS PAC ID: 4284539453
Enrollment ID: O20031201000642
Entity NameHennepin County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780790345
PECOS PAC ID: 7911892849
Enrollment ID: O20040218001012
Entity NameSt Francis Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891954574
PECOS PAC ID: 8123937992
Enrollment ID: O20040429000995
Entity NameSanford Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699869875
PECOS PAC ID: 6800707100
Enrollment ID: O20040715001116
Entity NameSanford Health Network
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1780781054
PECOS PAC ID: 6800707100
Enrollment ID: O20061213000244
Entity NameOdom Sports Medicine Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275557886
PECOS PAC ID: 0143485607
Enrollment ID: O20120706000533
Entity NameCarris Health - Redwood Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265914048
PECOS PAC ID: 7911259619
Enrollment ID: O20181129001082

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. John 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 AddressPractice Location Address
John Odom, MD
6390 Pleasant View Cv,
Chanhassen, MN 55317-9263

Ph: (952) 906-2011		John Odom, MD
10653 Wayzata Blvd Ste 200,
Minnetonka, MN 55305-1543

Ph: (952) 224-1919

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in Minnetonka, MN

Dr. Anne K Brutlag, MD
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305
Phone: 952-993-4500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.