Tracy Odom, CRNP in Opp, AL - Medicare Nurse Practitioner

Tracy Odom, CRNP is a medicare enrolled "Nurse Practitioner" in Opp, Alabama. Her current practice location is 101 E Paulk Ave Ste A, Opp, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 493-0311.

Tracy Odom is licensed to practice in Alabama (license number 1-111973) 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 1104332527.

Contact Information

	Tracy Odom, CRNP
	101 E Paulk Ave Ste A, Opp, AL 36467-1727
	(334) 493-0311
	(334) 493-0355

Map and Direction

Provider's Profile

Full Name	Tracy Odom
Gender	Female
Speciality	Nurse Practitioner
Location	101 E Paulk Ave Ste A, Opp, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104332527
Provider Enumeration Date: 12/21/2017
Last Update Date: 04/04/2025

Medicare PECOS Information:

PECOS PAC ID: 7517216617
Enrollment ID: I20210108001668

Medical Identifiers

Medical identifiers for Tracy Odom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104332527	NPI	-	NPPES
305045	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SF0001X	Clinical Nurse Specialist - Family Health	1-111973 (Alabama)	Secondary
363L00000X	Nurse Practitioner	1-111973 (Alabama)	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. Tracy Odom allows following entities to bill medicare on her behalf.

Entity Name	Wiregrass Wellness Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013117167 PECOS PAC ID: 9234106147 Enrollment ID: O20040910001105

Entity Name	Blissful Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417432030 PECOS PAC ID: 1951643956 Enrollment ID: O20191010002355

Entity Name	Mind Over Matter Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700402955 PECOS PAC ID: 5193135481 Enrollment ID: O20201027001814

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. Tracy 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
Tracy Odom, CRNP Po Box 342, Florala, AL 36442-0342 Ph: (334) 809-8049	Tracy Odom, CRNP 101 E Paulk Ave Ste A, Opp, AL 36467-1727 Ph: (334) 493-0311

Reviews and Comments

Nurse Practitioner Nurses in Opp, AL

David Russell Adams, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 702 N Main St, Opp, AL 36467 Phone: 334-456-0300 Fax: 716-265-3348
Kimberly Hornsby, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 604 Brantley St, Opp, AL 36467 Phone: 334-493-4472
Patricia Leigh Rountree, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 802 N Main St, Opp, AL 36467 Phone: 334-493-3240 Fax: 334-493-9535
Mrs. Tonya Wynette Wright, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 Brantley St, Opp, AL 36467 Phone: 334-493-3240 Fax: 334-493-9535
Ms. Cheryl Ann Foster, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Us Highway 84 W, Opp, AL 36467 Phone: 334-493-4357 Fax: 334-222-3825
Mrs. Vicki Senn, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Us Highway 84 W, Opp, AL 36467 Phone: 334-493-4357 Fax: 334-222-3825
Nicholas Bass, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 702 N Main St, Opp, AL 36467 Phone: 334-493-3541

Tracy Odom, CRNP - Medicare Nurse Practitioner in Opp, AL