Heidi Lisa Odum, APRN is a medicare enrolled "Nurse Practitioner" physician in Concord, New Hampshire. Her current practice location is
224 Pleasant Street, Suite G300, Concord, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 224-9995.
Heidi Lisa Odum is licensed to practice in New Hampshire (license number 064437-23) 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 1730814260.
Physician's Profile
Full Name | Heidi Lisa Odum |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 224 Pleasant Street, Suite G300, Concord, New Hampshire |
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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: 1730814260
- Provider Enumeration Date: 07/19/2022
- Last Update Date: 09/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 2668858606
- Enrollment ID: I20221025001939
Medical Identifiers
Medical identifiers for Heidi Lisa Odum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730814260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RN0300X | Internal Medicine - Nephrology | 064437-23 (New Hampshire) | Secondary |
363L00000X | Nurse Practitioner | 064437-23 (New Hampshire) | 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. Heidi Lisa Odum allows following entities to bill medicare on her behalf.
Entity Name | Nephrology Associates, P. A. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073630752 PECOS PAC ID: 6608811708 Enrollment ID: O20050620000850 |
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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. Heidi Lisa Odum 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 |
Heidi Lisa Odum, APRN 248 Pleasant St Ste G300, Concord, NH 03301-7530 Ph: (603) 224-9995 | Heidi Lisa Odum, APRN 224 Pleasant Street, Suite G300, Concord, NH 03301 Ph: (603) 224-9995 |
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