| Benjamin Odom, CRNA | |
|
3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | |
| (205) 977-1949 | |
| (205) 977-1933 |
| Full Name | Benjamin Odom |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 3104 Blue Lake Dr Ste 110, Vestavia, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639705767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-142308 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Habersham County Medical Ctr | Demorest, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Total Care Anesthesia Partners Llc | 7618212200 | 3 |
| Entity Name | Total Care Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962985168 PECOS PAC ID: 7618212200 Enrollment ID: O20190102000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Odom, CRNA 406 N Elm St, Mount Pleasant, TN 38474-1217 Ph: (205) 441-2996 | Benjamin Odom, CRNA 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 Ph: (205) 977-1949 |
Nicole D'amico Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243 Phone: 205-977-1949 | |
Erin Pritchett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3104 Blue Lake Dr, Vestavia, AL 35243 Phone: 205-863-0961 | |
Jennifer Knight, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2046 Montreat Cir, Apt A, Vestavia, AL 35216 Phone: 205-603-5675 | |
Dr. Waseem Wazir Ali Hussaini, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243 Phone: 205-977-1949 | |
Lacey Denton, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3104 Blue Lake Dr, Suite 110, Vestavia, AL 35243 Phone: 334-247-8769 Fax: 334-377-4417 | |
Haley Lawrence Hudson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2290 Tanglewood Brook Ln, Vestavia, AL 35243 Phone: 205-527-0223 | |
Mrs. Rachel Hughes Davidson, DNP, FNP-BC, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3104 Blue Lake Dr, Suite 110, Vestavia, AL 35243 Phone: 205-977-1949 Fax: 205-977-1933 |