Bethany Grace Odom, is a
Counselor based in Eastland, Texas. Bethany Grace Odom is licensed to practice in Texas (license number 88752) and her current practice location is
405 S Seaman St, Eastland, Texas. She can be reached at her office (for appointments etc.) via phone at
(254) 629-3355.
NPI number for Bethany Grace Odom is 1184363590 and her current mailing address is 405 S Seaman St, Eastland, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184363590.
Healthcare Provider's Profile
Full Name | Bethany Grace Odom |
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Gender | Female |
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Speciality | Counselor |
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Location | 405 S Seaman St, Eastland, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184363590
- Provider Enumeration Date: 06/02/2022
- Last Update Date: 06/02/2022
Medical Identifiers
Medical identifiers for Bethany Grace Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184363590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 88752 (Texas) | 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. Bethany Grace Odom 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 |
Bethany Grace Odom, 405 S Seaman St, Eastland, TX 76448-2749 Ph: (254) 629-3355 | Bethany Grace Odom, 405 S Seaman St, Eastland, TX 76448-2749 Ph: (254) 629-3355 |
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