Mckinley Odom, DPT - Medicare Physical Therapist in St Augustine, FL

Mckinley Odom, DPT is a medicare enrolled "Physical Therapist" provider in St Augustine, Florida. Her current practice location is 1711 Lakeside Ave Ste 5, St Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 679-3449.

Mckinley Odom is licensed to practice in South Carolina (license number 12135) 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 1629844089.

Contact Information

Mckinley Odom, DPT
1711 Lakeside Ave Ste 5,
St Augustine, FL 32084-4103
(904) 679-3449
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMckinley Odom
GenderFemale
SpecialityPhysical Therapist
Location1711 Lakeside Ave Ste 5, St Augustine, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629844089
  • Provider Enumeration Date: 11/28/2023
  • Last Update Date: 04/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5799135158
  • Enrollment ID: I20231227001465

Medical Identifiers

Medical identifiers for Mckinley Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629844089NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 12135 (South Carolina)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. Mckinley Odom allows following entities to bill medicare on her behalf.
Provider NameChapin Rehabilitation Clinic Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1033128160
PECOS PAC ID: 1557443488
Enrollment ID: O20080130000551

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. Mckinley 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 AddressPractice Location Address
Mckinley Odom, DPT
828 Silverpoint Rd,
Chapin, SC 29036-7963

Ph: (803) 543-6979
Mckinley Odom, DPT
1711 Lakeside Ave Ste 5,
St Augustine, FL 32084-4103

Ph: (904) 679-3449

Reviews and Comments


Physical Therapist in St Augustine, FL

Angela Marie Cicchino, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1 University Blvd, St Augustine, FL 32086
Phone: 904-829-3411    Fax: 904-829-3412
Mr. Stephen A Vighetti, PT, MTC, CSCS
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4020 Grande Vista Blvd, #114, St Augustine, FL 32084
Phone: 904-315-3416    
Dr. David Anthony Eldridge, D.P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Orthopaedic Pl, St Augustine, FL 32086
Phone: 904-825-0540    Fax: 904-825-2490
Erica J Kiernan, PT/OT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 105 Mariner Health Way, Ste 213, St Augustine, FL 32086
Phone: 904-217-4259    Fax: 904-217-4251
Jerry Worley, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 245 Wildwood Dr, # 144, St Augustine, FL 32086
Phone: 904-687-9880    
Joseph R Edwards, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 968 Espinado Avenue, St Augustine, FL 32086
Phone: 954-805-0655    
Kaleb Griffel, DPT PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1 University Blvd, St Augustine, FL 32086
Phone: 904-829-3411    Fax: 904-829-3412

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.