Jacob Brownlee Odom, DPT in Twentynine Palms, CA - Medicare Physical Therapist Provider

Jacob Brownlee Odom, DPT is a medicare enrolled "Physical Therapist" provider in Twentynine Palms, California. His current practice location is 1145 Sturgis Rd, Twentynine Palms, California. You can reach out to his office (for appointments etc.) via phone at (760) 830-2546.

Jacob Brownlee Odom is licensed to practice in Georgia (license number PT015893) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992443212.

Contact Information

	Jacob Brownlee Odom, DPT
	1145 Sturgis Rd, Twentynine Palms, CA 92278
	(760) 830-2546
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Brownlee Odom
Gender	Male
Speciality	Physical Therapist
Location	1145 Sturgis Rd, Twentynine Palms, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992443212
Provider Enumeration Date: 05/25/2022
Last Update Date: 11/26/2024

Medicare PECOS Information:

PECOS PAC ID: 5597144980
Enrollment ID: I20220615000323

Medical Identifiers

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

Identifier	Type	State	Issuer
1992443212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT015893 (Georgia)	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. Jacob Brownlee Odom allows following entities to bill medicare on his behalf.

Provider Name	Independent Physical Therapy Of Georgia Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396

Provider Name	Benchmark Physical Therapy, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120

Provider Name	Drayer Physical Therapy Georgia, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1962830406 PECOS PAC ID: 4284863317 Enrollment ID: O20140212000668

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. Jacob Brownlee 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
Jacob Brownlee Odom, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 541-3263	Jacob Brownlee Odom, DPT 1145 Sturgis Rd, Twentynine Palms, CA 92278 Ph: (760) 830-2546

Reviews and Comments

Physical Therapist in Twentynine Palms, CA

Jennifer Johanne Kozlowski, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743
Jordan Alexander Clevenger, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743
Paul I Harris, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Naval Hospital Attn Professional Affairs, Bldg 1145 Sturgis Street, Twentynine Palms, CA 92278 Phone: 760-830-2190
Mrs. Patricia Lynn Frank, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743
Spencer Gray, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743
Patricia A Sena-bolding, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743
H.d.p.r.g., Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 Fax: 760-367-1083

Jacob Brownlee Odom, DPT - Medicare Physical Therapist in Twentynine Palms, CA