Nkenna Odom, MD in Providence, RI - Medicare Family Practice

Nkenna Odom, MD is a medicare enrolled "Family Medicine" physician in Providence, Rhode Island. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Affinity Physicians Llc. and her current practice location is 1195 North Main Street, Cnemg Primary Care Wmc, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 736-4562.

Nkenna Odom is licensed to practice in Rhode Island (license number MD17589) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972098465.

Contact Information

	Nkenna Odom, MD
	1195 North Main Street, Cnemg Primary Care Wmc, Providence, RI 02904-0288
	(401) 736-4562
	(401) 921-9864

Map and Direction

Physician's Profile

Full Name	Nkenna Odom
Gender	Female
Speciality	Family Practice
Experience	8 Years
Location	1195 North Main Street, Providence, Rhode Island
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nkenna Odom graduated from medical school in 2018

NPI Data:

NPI Number: 1972098465
Provider Enumeration Date: 06/27/2018
Last Update Date: 02/19/2025

Medicare PECOS Information:

PECOS PAC ID: 1153723119
Enrollment ID: I20210713002742

Medical Identifiers

Medical identifiers for Nkenna Odom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972098465	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD17589 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Miriam Hospital	Providence, RI	Hospital
Women & Infants Hospital Of Rhode Island	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Affinity Physicians Llc.	0244413391	630

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. Nkenna Odom allows following entities to bill medicare on her behalf.

Entity Name	Affinity Physicians Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053

Entity Name	The Miriam Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1164716031 PECOS PAC ID: 6901796408 Enrollment ID: O20110928000027

Entity Name	Coastal Medical Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780273540 PECOS PAC ID: 0345658316 Enrollment ID: O20210427001413

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. Nkenna 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
Nkenna Odom, MD 455 Toll Gate Rd, Prc And Credentialing, Warwick, RI 02886-2759 Ph: (401) 273-0641	Nkenna Odom, MD 1195 North Main Street, Cnemg Primary Care Wmc, Providence, RI 02904-0288 Ph: (401) 736-4562

Reviews and Comments

Family Medicine Doctors in Providence, RI

Soraya S. P. Darwood, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 Prairie Ave, Providence, RI 02905 Phone: 401-444-0570 Fax: 401-444-0427
Scott Jusseaume, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 450 Brook St, Providence, RI 02906 Phone: 401-863-3953 Fax: 401-863-7953
Dr. Cailey Indech, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 146 W River St Fl 3, Providence, RI 02904 Phone: 401-793-5700 Fax: 401-793-7801
Laura J Henseler, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 146 W River St # 11a, Providence, RI 02904 Phone: 401-793-8770 Fax: 401-793-8709
Martin M. Miner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Blding, Providence, RI 02906 Phone: 401-793-4636 Fax: 401-793-4639
Sheldon D. E. Malcolm, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 Prairie Ave, Providence, RI 02905 Phone: 401-444-0570 Fax: 401-444-0427
Chhavi Karir, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 Prairie Ave, Providence, RI 02905 Phone: 401-444-0570 Fax: 401-444-0427

Nkenna Odom, MD - Medicare Family Practice in Providence, RI