Mrs Beverley Ann Blake Odoherty, CFNP - Medicare Nurse Practitioner in Great Falls, MT

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Mrs Beverley Ann Blake Odoherty, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Great Falls, Montana. She graduated from nursing school in 1996 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice South Sound Inpatient Physicians Pllc, Fayette Physician Network Inc and her current practice location is 1101 26th St S, Great Falls, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 455-5000.

Mrs Beverley Ann Blake Odoherty is licensed to practice in Idaho (license number NP925A) 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 1821166539.

Contact Information

Mrs Beverley Ann Blake Odoherty, CFNP
1101 26th St S,
Great Falls, MT 59405-5161
(406) 455-5000
(406) 731-8318

Map and Direction




Provider's Profile

Full NameMrs Beverley Ann Blake Odoherty
GenderFemale
SpecialityNurse Practitioner
Experience30 Years
Location1101 26th St S, Great Falls, Montana
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:
  • Mrs Beverley Ann Blake Odoherty graduated from nursing school in 1996
  NPI Data:
  • NPI Number: 1821166539
  • Provider Enumeration Date: 12/01/2006
  • Last Update Date: 09/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3577514207
  • Enrollment ID: I20191202001316

Medical Identifiers

Medical identifiers for Mrs Beverley Ann Blake Odoherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821166539NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP925A (Idaho)Primary
363LF0000XNurse Practitioner - Family NPPA070938 (Pennsylvania)Secondary
363LF0000XNurse Practitioner - Family 201907779NP-PP (Oregon)Secondary
363L00000XNurse Practitioner 102700 (Montana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Uniontown HospitalUniontown, PAHospital
Mckenzie-willamette Medical CenterSpringfield, ORHospital
Clarinda Regional Health CenterClarinda, IAHospital
Clarinda Regional Health CenterClarinda, IANursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Sound Inpatient Physicians Pllc5991618738424
Fayette Physician Network Inc3375865819309

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 Beverley Ann Blake Odoherty allows following entities to bill medicare on her behalf.
Entity NameGrande Ronde Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467446195
PECOS PAC ID: 0547170789
Enrollment ID: O20031124000758
Entity NameSouth Sound Inpatient Physicians PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508023789
PECOS PAC ID: 5991618738
Enrollment ID: O20050401000747
Entity NameGrande Ronde Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1467446195
PECOS PAC ID: 0547170789
Enrollment ID: O20061104000155

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 Beverley Ann Blake Odoherty 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
Mrs Beverley Ann Blake Odoherty, CFNP
1278 Swisher Rd,
Pocatello, ID 83204-1929

Ph: (208) 705-7554		Mrs Beverley Ann Blake Odoherty, CFNP
1101 26th St S,
Great Falls, MT 59405-5161

Ph: (406) 455-5000

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.