Jentry E O'daniel, PA - Medicare Physician Assistant in Fishers, IN

Jentry E O'daniel, PA is a medicare enrolled "Physician Assistant" in Fishers, Indiana. She is a member of the group practice Community Physicians Of Indiana Inc, Community Physician Network Urgent Care Llc, Marion General Hospital and her current practice location is 13121 Olio Rd Ste 300, Fishers, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 621-1310.

Jentry E O'daniel is licensed to practice in Indiana (license number 10002254A) 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 1720463532.

Contact Information

Jentry E O'daniel, PA
13121 Olio Rd Ste 300,
Fishers, IN 46037-7240
(317) 621-1310
Not Available

Map and Direction




Provider's Profile

Full NameJentry E O'daniel
GenderFemale
SpecialityPhysician Assistant
Location13121 Olio Rd Ste 300, Fishers, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jentry E O'daniel attended and graduated from University Of Cincinnati College Of Medicine in
  NPI Data:
  • NPI Number: 1720463532
  • Provider Enumeration Date: 07/22/2015
  • Last Update Date: 01/19/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1557679008
  • Enrollment ID: I20170825002947

Medical Identifiers

Medical identifiers for Jentry E O'daniel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720463532NPI-NPPES
300003519MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant TC391 (Kentucky)Secondary
363A00000XPhysician Assistant 10002254A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Marion General HospitalMarion, INHospital
Community Hospital NorthIndianapolis, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Physicians Of Indiana Inc17594166621569
Community Physician Network Urgent Care Llc105281986980
Marion General Hospital9133023625115

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. Jentry E O'daniel allows following entities to bill medicare on her behalf.
Entity NameMarion General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528099041
PECOS PAC ID: 9133023625
Enrollment ID: O20040524001483
Entity NameEmergency Professionals of Indiana PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013951219
PECOS PAC ID: 4183604150
Enrollment ID: O20040721000612
Entity NameInphynet Primary Care Physicians Midwest, S.C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528090610
PECOS PAC ID: 6507808946
Enrollment ID: O20050525001352
Entity NameBaptist Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508269200
PECOS PAC ID: 5597867184
Enrollment ID: O20090527000129
Entity NameCommunity Physicians of Indiana Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619105244
PECOS PAC ID: 1759416662
Enrollment ID: O20100317000717
Entity NameCommunity Physician Network Urgent Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487444782
PECOS PAC ID: 1052819869
Enrollment ID: O20250811003707

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. Jentry E O'daniel 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
Jentry E O'daniel, PA
6626 E 75th St Ste 500,
Indianapolis, IN 46250-2890

Ph: Not Available
Jentry E O'daniel, PA
13121 Olio Rd Ste 300,
Fishers, IN 46037-7240

Ph: (317) 621-1310

Reviews and Comments


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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.