Mrs Nicole D Odell, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Gooding, Idaho. Her current practice location is
267 N Canyon Dr, Gooding, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 934-4446.
Mrs Nicole D Odell is licensed to practice in Idaho (license number APRN-CNP67350) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083025225.
Provider's Profile
| Full Name | Mrs Nicole D Odell |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 267 N Canyon Dr, Gooding, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083025225
- Provider Enumeration Date: 05/09/2014
- Last Update Date: 02/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 0143447201
- Enrollment ID: I20210518001635
Medical Identifiers
Medical identifiers for Mrs Nicole D Odell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083025225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APN.0995359-NP (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | ARNP9236016 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN-CNP67350 (Idaho) | Primary |
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 Nicole D Odell allows following entities to bill medicare on her behalf.
| Entity Name | North Canyon Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609046671
PECOS PAC ID: 0941371439
Enrollment ID: O20090409000304 |
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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 Nicole D Odell 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 |
|---|
Mrs Nicole D Odell, ARNP
267 N Canyon Dr,
Gooding, ID 83330-5500
Ph: (208) 934-4446 | Mrs Nicole D Odell, ARNP
267 N Canyon Dr,
Gooding, ID 83330-5500
Ph: (208) 934-4446 |
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