Brett C Odum, MD | |
240 Medical Park Blvd, Ste 3600, Bristol, TN 37620-7346 | |
(423) 990-2400 | |
(423) 990-2405 |
Full Name | Brett C Odum |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 240 Medical Park Blvd, Bristol, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336143163 | NPI | - | NPPES |
3888335 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101232193 (Virginia) | Secondary |
207Q00000X | Family Medicine | MD 37808 (Tennessee) | Primary |
208M00000X | Hospitalist | 37808 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Care | Abingdon, VA | Home health agency |
Amedisys Home Health | Johnson city, TN | Home health agency |
Wellmont Bristol Regional Medical Center | Bristol, TN | Hospital |
Johnston Memorial Hospital | Abingdon, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Holston Medical Group Pc | 8224935754 | 227 |
Entity Name | Holston Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20031216000416 |
Entity Name | Southeastern Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
Mailing Address | Practice Location Address |
---|---|
Brett C Odum, MD Po Box 9, Kingsport, TN 37662-0009 Ph: (423) 857-2066 | Brett C Odum, MD 240 Medical Park Blvd, Ste 3600, Bristol, TN 37620-7346 Ph: (423) 990-2400 |
Dr. Michael D. Thornsberry, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 220 Country Meadows Cir, Bristol, TN 37620 Phone: 423-914-6265 | |
Andrew Brockmyre, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Medical Park Blvd, Ste 3600, Bristol, TN 37620 Phone: 423-990-2400 | |
Andrea Lynne Hopkins, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 Medical Park Blvd, Bristol, TN 37620 Phone: 423-989-4050 Fax: 423-990-3044 | |
Christopher Garner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 Medical Park Blvd, Bristol, TN 37620 Phone: 423-989-4050 Fax: 423-990-3045 | |
Dr. J Scott Ries, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 504 Old Jonesboro Road, Bristol, TN 37620 Phone: 423-844-1000 | |
Frederick Mitchell Litton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 237 Old Stage Drive, Bristol, TN 37620 Phone: 423-230-2420 Fax: 423-230-2422 | |
Frederick A Martin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1958 W State St, Bristol, TN 37620 Phone: 423-574-7575 Fax: 423-574-7576 |