John Odom, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in Eden Prairie, Minnesota. His current practice location is
6545 Flying Cloud Dr Ste 201, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 224-1919.
John Odom is licensed to practice in Minnesota (license number 44235) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215953732.
Physician's Profile
| Full Name | John Odom |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 6545 Flying Cloud Dr Ste 201, Eden Prairie, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John Odom attended and graduated from in
NPI Data:
- NPI Number: 1215953732
- Provider Enumeration Date: 07/15/2006
- Last Update Date: 06/25/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for John Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215953732 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 44235 (Minnesota) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 44235 (Minnesota) | Primary |
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. John Odom 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 |
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John Odom, MD
6390 Pleasant View Cv,
Chanhassen, MN 55317-9263
Ph: (952) 906-2011 | John Odom, MD
6545 Flying Cloud Dr Ste 201,
Eden Prairie, MN 55344-3356
Ph: (952) 224-1919 |
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