Odom Sports Medicine, P.a. is a
Family Medicine - Sports Medicine based in Waconia, Minnesota. Odom Sports Medicine, P.a. is licensed to practice in * (Not Available) (license number ) and their current practice location is
500 S Cherry St, Waconia, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(952) 856-4722.
NPI number for Odom Sports Medicine, P.a. is 1740625870 and their current mailing address is 10500 Wayzata Blvd, Minnetonka, Minnesota. Odom Sports Medicine, P.a.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1740625870.
Healthcare Provider's Profile
| Full Name | Odom Sports Medicine, P.a. |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine - Sports Medicine |
|---|
| Location | 500 S Cherry St, Waconia, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1740625870
- Provider Enumeration Date: 05/02/2013
- Last Update Date: 05/02/2013
Medical Identifiers
Medical identifiers for Odom Sports Medicine, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740625870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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. Odom Sports Medicine, P.a. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Odom Sports Medicine, P.a.
10500 Wayzata Blvd,
Minnetonka, MN 55305-1511
Ph: (952) 224-1919 | Odom Sports Medicine, P.a.
500 S Cherry St,
Waconia, MN 55387-4515
Ph: (952) 856-4722 |
Reviews and Comments