Carol M Odegaard, MD | |
261 Brookwood Ave, Jackson, GA 30233-1460 | |
(678) 752-0555 | |
(678) 752-0556 |
Full Name | Carol M Odegaard |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 31 Years |
Location | 261 Brookwood Ave, Jackson, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700876554 | NPI | - | NPPES |
000752166S | Medicaid | GA | |
202I083605 | Other | GA | CMOMDPC IND MCARE # |
P00708556 | Other | GA | RAILROAD MEDICARE |
000752166U | Other | GA | CMOMDPC IND MCAID # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 40495 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Of Covington | Covington, GA | Home health agency |
Kindred At Home | Peachtree city, GA | Home health agency |
Piedmont Henry Hospital | Stockbridge, GA | Hospital |
Piedmont Newton Hospital | Covington, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Medical Care Corporation | 6002802220 | 284 |
Entity Name | Piedmont Medical Care Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20040422001500 |
Mailing Address | Practice Location Address |
---|---|
Carol M Odegaard, MD 261 Brookwood Ave, Jackson, GA 30233-1460 Ph: (678) 752-0555 | Carol M Odegaard, MD 261 Brookwood Ave, Jackson, GA 30233-1460 Ph: (678) 752-0555 |
Peter Izzo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1502 W 3rd St, Jackson, GA 30233 Phone: 678-774-0430 Fax: 770-775-3410 | |
Bennie R. White Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 794 Mcdonough Rd, Suite 105, Jackson, GA 30233 Phone: 770-775-2341 Fax: 770-775-3668 | |
Jorge Luis Moreno Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 Mcdonough Rd, Jackson, GA 30233 Phone: 770-775-4622 Fax: 770-775-4132 | |
Aleta Maria Gardner, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2978 Highway 36 W, Jackson, GA 30233 Phone: 770-504-2168 Fax: 770-504-2140 | |
Nicole Pritchett Jimerson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1502 W 3rd St, Jackson, GA 30233 Phone: 770-914-0116 | |
Dr. Latora Williams, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1502 W 3rd St, Jackson, GA 30233 Phone: 770-914-0116 |