Mrs Blythe A Odonnell, DDS is a medicare enrolled "Dentist" provider in Manistie, Michigan. Her current practice location is
812 Cypress Street, Manistie, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 723-6512.
Mrs Blythe A Odonnell is licensed to practice in Michigan (license number 18268) 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 1790837839.
Healthcare Provider's Profile
Full Name | Mrs Blythe A Odonnell |
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Gender | Female |
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Speciality | Dentist |
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Location | 812 Cypress Street, Manistie, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790837839
- Provider Enumeration Date: 01/17/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3779885710
- Enrollment ID: I20160107000624
Medical Identifiers
Medical identifiers for Mrs Blythe A Odonnell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790837839 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 18268 (Michigan) | 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. Mrs Blythe A Odonnell 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 |
Mrs Blythe A Odonnell, DDS 812 Cypress Street, Manistie, MI 49660 Ph: (231) 723-6512 | Mrs Blythe A Odonnell, DDS 812 Cypress Street, Manistie, MI 49660 Ph: (231) 723-6512 |
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