Colbie Larieia Oden, is a medicare enrolled "Nurse Practitioner - Family" physician in Columbia, Maryland. Her current practice location is
8900 Columbia 100 Pkwy Ste E, Columbia, Maryland. You can reach out to her office (for appointments etc.) via phone at
(443) 380-0060.
Colbie Larieia Oden is licensed to practice in Maryland (license number R194655) 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 1790358208.
Physician's Profile
Full Name | Colbie Larieia Oden |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 8900 Columbia 100 Pkwy Ste E, Columbia, Maryland |
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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: 1790358208
- Provider Enumeration Date: 07/21/2021
- Last Update Date: 07/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 5193256584
- Enrollment ID: I20241009003955
Medical Identifiers
Medical identifiers for Colbie Larieia Oden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790358208 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207VG0400X | Obstetrics & Gynecology - Gynecology | R194655 (Maryland) | Secondary |
363LF0000X | Nurse Practitioner - Family | R194655 (Maryland) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Colbie Larieia Oden allows following entities to bill medicare on her behalf.
Entity Name | Maryland Family Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598718256 PECOS PAC ID: 5092629394 Enrollment ID: O20031119000273 |
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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. Colbie Larieia Oden 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 |
Colbie Larieia Oden, 18 Ruddington Ct, Reisterstown, MD 21136-2425 Ph: (410) 245-9142 | Colbie Larieia Oden, 8900 Columbia 100 Pkwy Ste E, Columbia, MD 21045-2336 Ph: (443) 380-0060 |
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