Ursula N Odimara, DNP, PMHNP-BC in Philadelphia, PA

Ursula N Odimara, DNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Philadelphia, Pennsylvania. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Legacy Treatment Services Inc and her current practice location is 11082 Knights Rd, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 632-9040.

Ursula N Odimara is licensed to practice in Pennsylvania (license number SP013474) 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 1629490222.

Contact Information

	Ursula N Odimara, DNP, PMHNP-BC
	11082 Knights Rd, Philadelphia, PA 19154-3511
	(215) 632-9040
	(215) 632-0610

Map and Direction

Provider's Profile

Full Name	Ursula N Odimara
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	11082 Knights Rd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ursula N Odimara graduated from nursing school in 2013

NPI Data:

NPI Number: 1629490222
Provider Enumeration Date: 01/16/2014
Last Update Date: 07/14/2025

Medicare PECOS Information:

PECOS PAC ID: 1153553078
Enrollment ID: I20150519001012

Medical Identifiers

Medical identifiers for Ursula N Odimara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629490222	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP013474 (Pennsylvania)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NJ00498400 (New Jersey)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP013474 (Pennsylvania)	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. Ursula N Odimara allows following entities to bill medicare on her behalf.

Entity Name	Legacy Treatment Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730594656 PECOS PAC ID: 0042526899 Enrollment ID: O20150825003854

Entity Name	Healthy Mind Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437800893 PECOS PAC ID: 3072906288 Enrollment ID: O20220211000873

Entity Name	Grow Healthcare Group Of New Jersey Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841949328 PECOS PAC ID: 5193194835 Enrollment ID: O20221220000110

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. Ursula N Odimara 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
Ursula N Odimara, DNP, PMHNP-BC 11082 Knights Rd, Philadelphia, PA 19154-3511 Ph: (215) 632-9040	Ursula N Odimara, DNP, PMHNP-BC 11082 Knights Rd, Philadelphia, PA 19154-3511 Ph: (215) 632-9040

Reviews and Comments

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Ursula N Odimara, DNP, PMHNP-BC - Medicare Nurse Practitioner in Philadelphia, PA