Mckenzie Jean Odom, is a
Counselor based in Erin, Tennessee. Mckenzie Jean Odom is licensed to practice in * (Not Available) (license number ) and her current practice location is
1620 Old 49 Hwy, Erin, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(931) 436-5363.
NPI number for Mckenzie Jean Odom is 1063034916 and her current mailing address is 1620 Old 49 Hwy, Erin, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063034916.
Healthcare Provider's Profile
| Full Name | Mckenzie Jean Odom |
|---|
| Gender | Female |
|---|
| Speciality | Counselor |
|---|
| Location | 1620 Old 49 Hwy, Erin, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1063034916
- Provider Enumeration Date: 05/14/2020
- Last Update Date: 05/14/2020
Medical Identifiers
Medical identifiers for Mckenzie Jean Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063034916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (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. Mckenzie Jean 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 |
|---|
Mckenzie Jean Odom,
1620 Old 49 Hwy,
Erin, TN 37061-4847
Ph: (931) 436-5363 | Mckenzie Jean Odom,
1620 Old 49 Hwy,
Erin, TN 37061-4847
Ph: (931) 436-5363 |
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