Brian Odom, MD | |
850 W Baraga Ave, Marquette, MI 49855-4550 | |
(906) 449-3000 | |
Not Available |
Full Name | Brian Odom |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 7 Years |
Location | 850 W Baraga Ave, Marquette, Michigan |
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 |
---|---|---|---|
1730619354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301113025 (Michigan) | Secondary |
208800000X | Urology | 4301506770 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Marquette General Hospital | Marquette, MI | Hospital |
Osf St Francis Hospital And Medical Group | Escanaba, MI | Hospital |
Bell Hospital | Ishpeming, MI | Hospital |
Up Health System Portage | Hancock, MI | Hospital |
Schoolcraft Memorial Hospital | Manistique, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dlp Marquette Physician Practices Inc | 9931359601 | 151 |
Entity Name | Dlp Marquette Physician Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312 |
Mailing Address | Practice Location Address |
---|---|
Brian Odom, MD 850 W Baraga Ave, Marquette, MI 49855-4550 Ph: (906) 449-3000 | Brian Odom, MD 850 W Baraga Ave, Marquette, MI 49855-4550 Ph: (906) 449-3000 |
Michael G Cotant, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 853 W Washington St, Marquette, MI 49855 Phone: 906-255-7918 Fax: 906-225-8764 | |
James H Mering, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1414 W Fair Ave, Suite 242, Marquette, MI 49855 Phone: 906-225-3893 Fax: 906-225-4893 | |
Miles J Mattson, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1414 W Fair Ave, Suite 249, Marquette, MI 49855 Phone: 906-225-7780 Fax: 906-225-4893 |