| Odyssey Mental Health Care Llc | |
|
13655 Smokey Ridge Pl Carmel IN 46033-9265 | |
| (317) 827-2987 | |
| (317) 219-0879 |
| Full Name | Odyssey Mental Health Care Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 13655 Smokey Ridge Pl, Carmel, Indiana |
| Authorized Official Name and Position | Nicole Davis (CEO/OWNER) |
| Authorized Official Contact | 3178272987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey Mental Health Care Llc 13655 Smokey Ridge Pl Carmel IN 46033-9265 Ph: (317) 827-2987 | Odyssey Mental Health Care Llc 13655 Smokey Ridge Pl Carmel IN 46033-9265 Ph: (317) 827-2987 |
| NPI Number | 1104592617 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 08/17/2021 |
| Certification Date | 08/17/2021 |
| Medicare PECOS PAC ID | 9739584897 |
|---|---|
| Medicare Enrollment ID | O20210827000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104592617 | NPI | - | NPPES |
| Provider Name | John D Heflin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457555831 PECOS PAC ID: 9335306455 Enrollment ID: I20120201000530 |
| Provider Name | Janet Satterthwaite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831729383 PECOS PAC ID: 5395171318 Enrollment ID: I20200210002559 |
| Provider Name | Brittany Leshea Pulliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265108161 PECOS PAC ID: 3678967346 Enrollment ID: I20220222002000 |
| Provider Name | Wendy Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376245175 PECOS PAC ID: 3072987619 Enrollment ID: I20230321002245 |
| Provider Name | Kyle Merrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851076939 PECOS PAC ID: 7810357589 Enrollment ID: I20230713002655 |
| Provider Name | Robert David Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114944683 PECOS PAC ID: 7810990827 Enrollment ID: I20231127002901 |
| Provider Name | Anike Abidemi Olawoyin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235908187 PECOS PAC ID: 6709220882 Enrollment ID: I20240216000805 |
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