Sandra Elaine Odom, is a medicare enrolled "Nurse Practitioner - Family" in Casa, Arkansas. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Urgent Team Of Arkansas Physicians Llc and her current practice location is
11 Highway 247, Casa, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 330-0159.
Sandra Elaine Odom is licensed to practice in Arkansas (license number A006138) 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 1669933370.
Provider's Profile
| Full Name | Sandra Elaine Odom |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 11 Highway 247, Casa, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sandra Elaine Odom graduated from nursing school in 2018
NPI Data:
- NPI Number: 1669933370
- Provider Enumeration Date: 03/26/2019
- Last Update Date: 03/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204178023
- Enrollment ID: I20190426001950
Medical Identifiers
Medical identifiers for Sandra Elaine Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669933370 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | A006138 (Arkansas) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | A006138 (Arkansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | A006138 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Urgent Team Of Arkansas Physicians Llc | 1850539198 | 134 |
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. Sandra Elaine Odom allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Clinic Fort Smith Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902073620
PECOS PAC ID: 3870668510
Enrollment ID: O20080814000789 |
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| Entity Name | Urgent Team Of Arkansas Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992041370
PECOS PAC ID: 1850539198
Enrollment ID: O20130529000209 |
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| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190913002365 |
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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. Sandra Elaine Odom 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 |
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Sandra Elaine Odom,
11 Highway 247,
Casa, AR 72025-9700
Ph: (479) 330-0159 | Sandra Elaine Odom,
11 Highway 247,
Casa, AR 72025-9700
Ph: (479) 330-0159 |
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