Kyle Brent Odesha, is a
Case Manager/care Coordinator based in Medford, Oregon. Kyle Brent Odesha is licensed to practice in * (Not Available) (license number ) and his current practice location is
200 Beatty St, Medford, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 476-2373.
NPI number for Kyle Brent Odesha is 1023621950 and his current mailing address is 1215 Sw G St, Grants Pass, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023621950.
Healthcare Provider's Profile
| Full Name | Kyle Brent Odesha |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 200 Beatty St, Medford, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1023621950
- Provider Enumeration Date: 08/29/2020
- Last Update Date: 12/29/2023
Medical Identifiers
Medical identifiers for Kyle Brent Odesha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023621950 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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. Kyle Brent Odesha 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 |
|---|
Kyle Brent Odesha,
1215 Sw G St,
Grants Pass, OR 97526-2544
Ph: (541) 476-2373 | Kyle Brent Odesha,
200 Beatty St,
Medford, OR 97501-5811
Ph: (541) 476-2373 |
Reviews and Comments