Dr Angela D Odom-austin, MD | |
1140 S Vienna St, Ruston, LA 71270-5834 | |
(318) 224-7190 | |
Not Available |
Full Name | Dr Angela D Odom-austin |
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Gender | Female |
Speciality | Pediatrics - Adolescent Medicine |
Location | 1140 S Vienna St, Ruston, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437180072 | NPI | - | NPPES |
6754406 | Medicaid | VA | |
2505637 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 0101047120 (Virginia) | Primary |
Entity Name | Winn Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275769119 PECOS PAC ID: 2567516545 Enrollment ID: O20090918000491 |
Mailing Address | Practice Location Address |
---|---|
Dr Angela D Odom-austin, MD Po Box 1230, Hampton, VA 23661-0230 Ph: (757) 247-1111 | Dr Angela D Odom-austin, MD 1140 S Vienna St, Ruston, LA 71270-5834 Ph: (318) 224-7190 |
Dr. Dayanny Langiulli, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Celebrity Dr Ste 4, Ruston, LA 71270 Phone: 318-966-8370 Fax: 318-232-1221 | |
Mr. David W Mcgehee, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690 | |
Ms. Tonya Slusher, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690 | |
Mrs. Candace Moak, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690 | |
Dr. Brenda L Mcintyre, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 609 N Trenton St, Ruston, LA 71270 Phone: 318-255-4112 Fax: 318-251-8727 | |
Hannah Rose Rugg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-251-6240 Fax: 318-251-6136 |