Susana Odoom, RN in San Tan Valley, AZ - Medicare Advanced Practice Midwife

Susana Odoom, RN is a medicare enrolled "Advanced Practice Midwife" in San Tan Valley, Arizona. Her current practice location is 37100 N Gantzel Rd Ste 106, San Tan Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 821-3600.

Susana Odoom is licensed to practice in Arizona (license number TEMP319341) 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 1952171670.

Contact Information

	Susana Odoom, RN
	37100 N Gantzel Rd Ste 106, San Tan Valley, AZ 85140-7350
	(480) 821-3600
	Not Available

Map and Direction

Provider's Profile

Full Name	Susana Odoom
Gender	Female
Speciality	Advanced Practice Midwife
Location	37100 N Gantzel Rd Ste 106, San Tan Valley, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952171670
Provider Enumeration Date: 01/03/2024
Last Update Date: 02/07/2025

Medicare PECOS Information:

PECOS PAC ID: 8224558317
Enrollment ID: I20250219002646

Medical Identifiers

Medical identifiers for Susana Odoom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952171670	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	TEMP319341 (Arizona)	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. Susana Odoom allows following entities to bill medicare on her behalf.

Entity Name	Momdoc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184780355 PECOS PAC ID: 3375534282 Enrollment ID: O20040520000050

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. Susana Odoom 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
Susana Odoom, RN Po Box 6730, Chandler, AZ 85246-6730 Ph: (480) 821-3600	Susana Odoom, RN 37100 N Gantzel Rd Ste 106, San Tan Valley, AZ 85140-7350 Ph: (480) 821-3600

Reviews and Comments

Advanced Practice Midwife Nurses in San Tan Valley, AZ

Debra I Bro, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 36375 N Gantzel Rd Ste 103, San Tan Valley, AZ 85140 Phone: 480-987-5500
Keli Amparan, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 37100 N Gantzel Rd Ste 106, San Tan Valley, AZ 85140 Phone: 480-821-3600
Ms. Audra S Williams, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 37100 N Gantzel Rd Ste 106, San Tan Valley, AZ 85140 Phone: 480-821-3600
Cassandra Korth, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 37100 N Gantzel Rd Ste 106, San Tan Valley, AZ 85140 Phone: 480-821-3600 Fax: 480-857-2667
Yoonie Lee, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 36375 N Gantzel Rd Ste 103, San Tan Valley, AZ 85140 Phone: 480-987-5500
Mrs. Brynea Daman, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 37100 N Gantzel Rd Ste 106, San Tan Valley, AZ 85140 Phone: 480-821-3600 Fax: 480-821-3610

Susana Odoom, RN - Medicare Advanced Practice Midwife in San Tan Valley, AZ