Odom Health & Wellness - Medicare Primary Care in Minnetonka, MN

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Odom Health & Wellness is a medicare enrolled primary clinic (Family Medicine - Sports Medicine) in Minnetonka, Minnesota. The current practice location for Odom Health & Wellness is 10653 Wayzata Blvd Ste 200, Minnetonka, Minnesota. For appointments, you can reach them via phone at (952) 224-1919. The mailing address for Odom Health & Wellness is 10653 Wayzata Blvd Ste 200, Minnetonka, Minnesota and phone number is (952) 224-1919.

Odom Health & Wellness is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1275557886. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (952) 224-1919.

Contact Information

Odom Health & Wellness
10653 Wayzata Blvd Ste 200
Minnetonka
MN 55305-1543
(952) 224-1919
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameOdom Health & Wellness
SpecialityFamily Medicine
Location10653 Wayzata Blvd Ste 200, Minnetonka, Minnesota
Authorized Official Name and PositionJohn H Odom (PRESIDENT)
Authorized Official Contact9522241919
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Odom Health & Wellness
10653 Wayzata Blvd Ste 200
Minnetonka
MN 55305-1543

Ph: (952) 224-1919		Odom Health & Wellness
10653 Wayzata Blvd Ste 200
Minnetonka
MN 55305-1543

Ph: (952) 224-1919

NPI Details:

NPI Number1275557886
Provider Enumeration Date07/27/2006
Last Update Date07/13/2020

Medicare PECOS Information:

Medicare PECOS PAC ID0143485607
Medicare Enrollment IDO20120706000533

Medical Identifiers

Medical identifiers for Odom Health & Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275557886NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Odom Health & Wellness acts as a billing entity for following providers:
Provider NameJohn H. L. Odom
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215953732
PECOS PAC ID: 3274502455
Enrollment ID: I20040927000127
Provider NameChad R Fait
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144303454
PECOS PAC ID: 3173521374
Enrollment ID: I20061127000012
Provider NameSara J Welder
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558451807
PECOS PAC ID: 8123020831
Enrollment ID: I20070209000092
Provider NameMeghan A Klein
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245596196
PECOS PAC ID: 8224294194
Enrollment ID: I20120720000222
Provider NameTrygve J Lundgren
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1942541297
PECOS PAC ID: 8628215407
Enrollment ID: I20130515000354
Provider NameChristina M Leuzzo
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1174758551
PECOS PAC ID: 7416241120
Enrollment ID: I20160901000330
Provider NameCourtney A Karalus
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194270850
PECOS PAC ID: 6103113824
Enrollment ID: I20160927000191
Provider NameTrent D Stensrud
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194107243
PECOS PAC ID: 0941519748
Enrollment ID: I20160927001977
Provider NameNancy Ann Mack
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1528573458
PECOS PAC ID: 3072872167
Enrollment ID: I20180118000320
Provider NameDanielle M Prom
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306369319
PECOS PAC ID: 1658646823
Enrollment ID: I20180209001821
Provider NameKatherine Price
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1972008522
PECOS PAC ID: 5092070912
Enrollment ID: I20180524001570
Provider NameAllison Marie Holzwarth
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881185353
PECOS PAC ID: 5193075745
Enrollment ID: I20180904000285
Provider NameAndrew J Moran
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487145405
PECOS PAC ID: 7810247020
Enrollment ID: I20180910002675
Provider NameCharlotte A Meyer
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1255810222
PECOS PAC ID: 7113279803
Enrollment ID: I20181008002051
Provider NameJessica Ann Swink
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467796607
PECOS PAC ID: 9537413935
Enrollment ID: I20181126000252
Provider NameJamie Nichols
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356822514
PECOS PAC ID: 5092069328
Enrollment ID: I20181126001468
Provider NameDustin M Evans
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1285868992
PECOS PAC ID: 3375768161
Enrollment ID: I20181226001186
Provider NameJoshua D Fingerman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083004303
PECOS PAC ID: 8527305630
Enrollment ID: I20190128003354
Provider NameKatie Lynn Meyers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679825558
PECOS PAC ID: 5799936845
Enrollment ID: I20190207002822
Provider NameRachel A Hansen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669945077
PECOS PAC ID: 0244578508
Enrollment ID: I20190212000312
Provider NameAmanda Margaret Lane
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1780248419
PECOS PAC ID: 1759614696
Enrollment ID: I20190610001119
Provider NameGabriel Douglas Orem
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1649739103
PECOS PAC ID: 9234469198
Enrollment ID: I20190919002485
Provider NameCory J Jones
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1407339864
PECOS PAC ID: 0042540866
Enrollment ID: I20190920003159
Provider NameChrista Marie Haskins
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063463404
PECOS PAC ID: 6002146644
Enrollment ID: I20190925001956
Provider NameDianna Knack
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1306490628
PECOS PAC ID: 0547591349
Enrollment ID: I20191009001042
Provider NameStefanie El-darazi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235538653
PECOS PAC ID: 5890913727
Enrollment ID: I20200115001072
Provider NameMichaela Krumholz
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1639719776
PECOS PAC ID: 8325473341
Enrollment ID: I20200122001615
Provider NameCaroline Jasper
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1184234692
PECOS PAC ID: 5698192599
Enrollment ID: I20200824001567
Provider NameHannah Marie Kaldahl
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508478413
PECOS PAC ID: 7315364593
Enrollment ID: I20200902001849
Provider NameJames I Joseph
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104381680
PECOS PAC ID: 2163849183
Enrollment ID: I20200904000031
Provider NameJenna Green
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609488121
PECOS PAC ID: 8527486547
Enrollment ID: I20200908002059
Provider NamePaul Michael Hegstrom
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1316557671
PECOS PAC ID: 7618396151
Enrollment ID: I20201001002012
Provider NameKate Valen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1902254907
PECOS PAC ID: 1557771474
Enrollment ID: I20201104002729
Provider NameKathryn Ourada
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1770178691
PECOS PAC ID: 3173939709
Enrollment ID: I20210306000025
Provider NameCarrie Kelley
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1336396365
PECOS PAC ID: 0042627648
Enrollment ID: I20210326001747
Provider NameAlexandra Heinrich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477147551
PECOS PAC ID: 7810305265
Enrollment ID: I20210423000209
Provider NameEmily L Parnell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700419207
PECOS PAC ID: 7618386798
Enrollment ID: I20210430000388
Provider NameMaddie Schlossmacher
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1760064703
PECOS PAC ID: 9133538044
Enrollment ID: I20210505002627
Provider NameMorgan Shannon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760066880
PECOS PAC ID: 8820497878
Enrollment ID: I20210525002327
Provider NameAlyssa Cleereman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1184298325
PECOS PAC ID: 3375942220
Enrollment ID: I20210525002803
Provider NameLucas Blanchard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932774874
PECOS PAC ID: 9436558996
Enrollment ID: I20210603001131
Provider NameLani Michelle Hanson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1083280077
PECOS PAC ID: 6002216298
Enrollment ID: I20210609001672
Provider NameMelinda Holmstadt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669042818
PECOS PAC ID: 7012319932
Enrollment ID: I20210714001472
Provider NameMorgan Lea Scheid
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1396337366
PECOS PAC ID: 7719380989
Enrollment ID: I20210726001834
Provider NameSydney Rae Smith
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1891461430
PECOS PAC ID: 5799181657
Enrollment ID: I20210901002422
Provider NameKristina Fiscus
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1205483948
PECOS PAC ID: 3870999733
Enrollment ID: I20210901002444
Provider NameJessica Tadesse
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1154097731
PECOS PAC ID: 9931505807
Enrollment ID: I20210901002919
Provider NameKathy J Thiegs
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801177183
PECOS PAC ID: 2567850100
Enrollment ID: I20211101000940
Provider NameAshely Ka Zoua Xiong
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1487318572
PECOS PAC ID: 9234527847
Enrollment ID: I20211102000285
Provider NameKristen Berger
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1386309839
PECOS PAC ID: 0042609323
Enrollment ID: I20211106000197
Provider NameMelody Oaks
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1730845231
PECOS PAC ID: 9234528068
Enrollment ID: I20211116001356
Provider NameClaire Lynn Wheatley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326633322
PECOS PAC ID: 7810382710
Enrollment ID: I20220310002534
Provider NameKelsey Schaefbauer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528637428
PECOS PAC ID: 5395130108
Enrollment ID: I20220314001757
Provider NameGretta Adams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841944543
PECOS PAC ID: 4486048642
Enrollment ID: I20220330002918
Provider NameKia Kuka
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528717246
PECOS PAC ID: 0648666578
Enrollment ID: I20220401001248
Provider NameMarah Slieter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184353385
PECOS PAC ID: 0345629267
Enrollment ID: I20220623002688
Provider NameAlexa Ronayne
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1043702210
PECOS PAC ID: 5294115853
Enrollment ID: I20220629002290
Provider NameJacey Jo Risler
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1225760804
PECOS PAC ID: 8729463989
Enrollment ID: I20220923002474
Provider NameZoey Lyn Stewart
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932823531
PECOS PAC ID: 3678949856
Enrollment ID: I20221012002764
Provider NameJeri Rowley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396815544
PECOS PAC ID: 8729072905
Enrollment ID: I20221026002722
Provider NameElissa Light
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1902099922
PECOS PAC ID: 6709254212
Enrollment ID: I20221114003085
Provider NameSteven Louis Bultena
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780393694
PECOS PAC ID: 3072983014
Enrollment ID: I20230107000178
Provider NameKathryn Scrimgeour
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1558073882
PECOS PAC ID: 0648640599
Enrollment ID: I20230110002116
Provider NameSabrina Possia
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1427761394
PECOS PAC ID: 2365813656
Enrollment ID: I20230124003224
Provider NameAbigail Quaas
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1598128365
PECOS PAC ID: 7719350313
Enrollment ID: I20230301002699
Provider NameMaya Renee Delport
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1275183154
PECOS PAC ID: 0941673313
Enrollment ID: I20230306001619
Provider NameSydney Mckenzie
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1063110872
PECOS PAC ID: 0547633927
Enrollment ID: I20230306001824
Provider NameRachael Olson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1285212092
PECOS PAC ID: 6103283320
Enrollment ID: I20230602002285
Provider NameVictoria Sweely
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063105500
PECOS PAC ID: 4981061611
Enrollment ID: I20230612000375
Provider NameCaitlin Schultz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184332215
PECOS PAC ID: 0941678577
Enrollment ID: I20230721001674
Provider NameChristopher John Feldman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790356855
PECOS PAC ID: 0941691240
Enrollment ID: I20230728002612
Provider NameErica Hillard
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1528533791
PECOS PAC ID: 0042671307
Enrollment ID: I20230802003113
Provider NameAllison Hoefer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831739770
PECOS PAC ID: 7719313626
Enrollment ID: I20230815002260
Provider NameJordan Bruestle
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1437830213
PECOS PAC ID: 5597127993
Enrollment ID: I20230817000246
Provider NameAmy Rose Batchelor
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1730478272
PECOS PAC ID: 0749642098
Enrollment ID: I20230817002701
Provider NameClaire Rondeau
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1225811250
PECOS PAC ID: 8123481769
Enrollment ID: I20230829003459
Provider NameSarah Desautel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689159246
PECOS PAC ID: 3274987334
Enrollment ID: I20230925000984
Provider NameHoang Vu Khac Pham
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962170134
PECOS PAC ID: 7012361967
Enrollment ID: I20230926001904
Provider NameRiley Schilling
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750056263
PECOS PAC ID: 1254737752
Enrollment ID: I20231005002063
Provider NameMadelyn James
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1831871961
PECOS PAC ID: 4880049758
Enrollment ID: I20231012001425
Provider NameClara E Keyes Ehrman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1659151264
PECOS PAC ID: 5890141063
Enrollment ID: I20231024002074
Provider NameAllison A Roehl
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1255112363
PECOS PAC ID: 8224484167
Enrollment ID: I20231027002811
Provider NameChristine M Konopacki
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1437921624
PECOS PAC ID: 6305292947
Enrollment ID: I20231102000882
Provider NameMichelle Lavinia Skavhaug
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912638016
PECOS PAC ID: 5294181848
Enrollment ID: I20231102000994
Provider NameRachel M Webster
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1770216848
PECOS PAC ID: 5991153934
Enrollment ID: I20231130002875
Provider NameJake Phillip Toedter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396347878
PECOS PAC ID: 3072963826
Enrollment ID: I20231220002185
Provider NameTabitha Butler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487422648
PECOS PAC ID: 2264882422
Enrollment ID: I20231229001924
Provider NameKaitlin Vaith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053180893
PECOS PAC ID: 8729438718
Enrollment ID: I20240103003192
Provider NameJalyn Robinson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295514016
PECOS PAC ID: 5395197750
Enrollment ID: I20240122001651

Reviews and Comments


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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.