Kimberly Odom, LPC in Decatur, GA - Medicare Counselor Provider

Kimberly Odom, LPC is a medicare enrolled "Counselor - Professional" provider in Decatur, Georgia. Her current practice location is 465 Winn Way Ste 221, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (888) 588-8995.

Kimberly Odom is licensed to practice in Georgia (license number 007734) 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 1396140331.

Contact Information

	Kimberly Odom, LPC
	465 Winn Way Ste 221, Decatur, GA 30030-1723
	(888) 588-8995
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Odom
Gender	Female
Speciality	Counselor - Professional
Location	465 Winn Way Ste 221, Decatur, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396140331
Provider Enumeration Date: 11/04/2014
Last Update Date: 03/31/2023

Medicare PECOS Information:

PECOS PAC ID: 5193164333
Enrollment ID: I20240419002330

Medical Identifiers

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

Identifier	Type	State	Issuer
1396140331	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	007734 (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. Kimberly Odom allows following entities to bill medicare on her behalf.

Entity Name	Neighborhood Improvement Project Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700900867 PECOS PAC ID: 7315851078 Enrollment ID: O20031117000665

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. Kimberly 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
Kimberly Odom, LPC 465 Winn Way Ste 221, Decatur, GA 30030-1723 Ph: (888) 588-8995	Kimberly Odom, LPC 465 Winn Way Ste 221, Decatur, GA 30030-1723 Ph: (888) 588-8995

Reviews and Comments

Counselor in Decatur, GA

Robin C Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3523 Moonlight Forest Ct, Decatur, GA 30034 Phone: 770-374-1605
Shaina Gordon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 465 Winn Way, 221, Decatur, GA 30030 Phone: 404-292-3810
Sarah Davison, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3836
Giselle Amaris Jacob, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1244 Clairmont Rd Ste 204, Decatur, GA 30030 Phone: 404-818-6535
Mrs. Anna Christina Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 465 Winn Way, Suite 221, Decatur, GA 30030 Phone: 404-292-3810 Fax: 404-292-3848
Jacob Dreiling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1814 Clairmont Rd, Decatur, GA 30033 Phone: 404-636-1457 Fax: 404-636-7449
Nathaniel Flowers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3232 Memorial Dr, Decatur, GA 30032 Phone: 678-235-5478

Kimberly Odom, LPC - Medicare Counselor in Decatur, GA