Mrs Lisa Nicole Odom, in Spokane Valley, WA

Mrs Lisa Nicole Odom, is a medicare enrolled "Pediatrics" physician in Spokane Valley, Washington. Her current practice location is 16528 E Desmet Ct Ste B1000, Spokane Valley, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 944-8770.

Mrs Lisa Nicole Odom is licensed to practice in Washington (license number MD70024994) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598007668.

Contact Information

	Mrs Lisa Nicole Odom,
	16528 E Desmet Ct Ste B1000, Spokane Valley, WA 99216-3522
	(509) 944-8770
	(509) 944-8856

Map and Direction

Physician's Profile

Full Name	Mrs Lisa Nicole Odom
Gender	Female
Speciality	Pediatrics
Location	16528 E Desmet Ct Ste B1000, Spokane Valley, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598007668
Provider Enumeration Date: 03/26/2013
Last Update Date: 08/11/2025

Medicare PECOS Information:

PECOS PAC ID: 5890082804
Enrollment ID: I20160919002487

Medical Identifiers

Medical identifiers for Mrs Lisa Nicole Odom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598007668	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	M-13382 (Idaho)	Secondary
208000000X	Pediatrics	MD70024994 (Washington)	Primary

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. Mrs Lisa Nicole Odom allows following entities to bill medicare on her behalf.

Entity Name	Kootenai Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230

Entity Name	Dirne Health Centers, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285686477 PECOS PAC ID: 2466353354 Enrollment ID: O20050303001041

Entity Name	Kootenai Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252

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. Mrs Lisa Nicole 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
Mrs Lisa Nicole Odom, Pob 31001-4114, Pasadena, CA 91110-4114 Ph: (866) 747-2455	Mrs Lisa Nicole Odom, 16528 E Desmet Ct Ste B1000, Spokane Valley, WA 99216-3522 Ph: (509) 944-8770

Reviews and Comments

Pediatrics Doctors in Spokane Valley, WA

Dr. Ponrat Pakpreo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 16528 E Desmet Ct Ste B-1000, Spokane Valley, WA 99216 Phone: 509-944-8860 Fax: 509-944-8856
Haley Wilkes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15812 E Indiana Ave, Spokane Valley, WA 99216 Phone: 509-444-8200
Dr. Tamara L Simmerman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1414 N Vercler, Building 1, Spokane Valley, WA 99216 Phone: 509-928-6383 Fax: 509-926-9420
Dr. Ann M Roberts, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1414 N Vercler, Building 1, Spokane Valley, WA 99216 Phone: 509-928-6383 Fax: 509-926-9420
Anne Marie Mccarthy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1414 N Vercler Rd Ste 1, Spokane Valley, WA 99216 Phone: 509-926-9420
Dr. Bruce Abbotts, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1414 N Vercler Rd, Building 1, Spokane Valley, WA 99216 Phone: 509-928-6383 Fax: 509-926-9420
Dr. Cicely Wilhite White, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14402 E Sprague Ave, Spokane Valley, WA 99216 Phone: 509-922-2625 Fax: 509-922-4001

Mrs Lisa Nicole Odom, - Medicare Pediatrics in Spokane Valley, WA