| Tracy Odom, CRNP | |
|
101 E Paulk Ave Ste A, Opp, AL 36467-1727 | |
| (334) 493-0311 | |
| (334) 493-0355 |
| Full Name | Tracy Odom |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 101 E Paulk Ave Ste A, Opp, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104332527 | NPI | - | NPPES |
| 305045 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1-111973 (Alabama) | Primary |
| 364SF0001X | Clinical Nurse Specialist - Family Health | 1-111973 (Alabama) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lhc Homecare Of South Alabama | Opp, AL | Home health agency |
| Wiregrass Medical Center | Geneva, AL | Hospital |
| Mizell Memorial Hospital | Opp, AL | Hospital |
| Andalusia Health | Andalusia, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blissful Healthcare Llc | 1951643956 | 3 |
| 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 | Florala Medical Associates, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104629740 PECOS PAC ID: 6901382993 Enrollment ID: O20260108004407 |
| 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 |
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: Accepting Medicare Assignments Practice Location: 511 Brantley St, Opp, AL 36467 Phone: 334-493-3240 Fax: 334-493-9535 |
Lisa Adamson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Us Highway 84 W, Opp, AL 36467 Phone: 334-493-4357 Fax: 334-493-3836 |
Katie Spurlin Bowers, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 802 N Main St, Opp, AL 36467 Phone: 334-493-3240 |
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 |