Dr Stephen Ray Odom Ii, MD | |
14 Medical Park Dr, Asheville, NC 28803-2493 | |
(828) 252-3366 | |
(828) 258-0891 |
Full Name | Dr Stephen Ray Odom Ii |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 24 Years |
Location | 14 Medical Park Dr, Asheville, North Carolina |
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 |
---|---|---|---|
1639153257 | NPI | - | NPPES |
33452555 | Medicaid | CO | |
P00255737 | Other | CO | MEDICARE RAILROAD CARRIER |
840255530039 | Other | CO | ROCKY MTN HEALTH PLANS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 43996 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
Beth Israel Deaconess Hospital - Milton | Milton, MA | Hospital |
Beth Israel Deaconess Hospital Plymouth | Plymouth, MA | Hospital |
Beth Israel Deaconess Hospital - Needham | Needham, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | 4486567104 | 1337 |
Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720037385 PECOS PAC ID: 4486567104 Enrollment ID: O20031203000426 |
Entity Name | Beth Israel Deaconess Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen Ray Odom Ii, MD 110 Francis St, Lmob 3a, Boston, MA 02215-5501 Ph: (617) 632-9786 | Dr Stephen Ray Odom Ii, MD 14 Medical Park Dr, Asheville, NC 28803-2493 Ph: (828) 252-3366 |
William Alan Bradshaw, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 14 Medical Park Dr, Asheville, NC 28803 Phone: 828-252-3366 Fax: 828-258-0891 | |
Darren P Bryant, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Suite 4200, Asheville, NC 28801 Phone: 828-213-1995 | |
John P Henretta, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 Asheland Ave, Asheville, NC 28801 Phone: 828-213-9090 Fax: 828-213-9091 | |
Dr. Kathryn Tulley Decker, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1201 Patton Ave, Asheville, NC 28806 Phone: 828-252-8759 Fax: 828-255-8028 | |
William Shillinglaw, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 509 Biltmore Ave, Asheville, NC 28801 Phone: 828-213-1995 Fax: 828-213-1992 | |
Dr. Emma Goldsmith Rooney, MD Surgery Medicare: Medicare Enrolled Practice Location: 222 Asheland Ave, Asheville, NC 28801 Phone: 828-213-9090 | |
Michael J Schurr, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Suite 4200, Asheville, NC 28801 Phone: 828-213-1994 |