Michael Stephen Odom, MD | |
12016 N Radio Station Rd, Seneca, SC 29678-1143 | |
(864) 882-6141 | |
(864) 882-6680 |
Full Name | Michael Stephen Odom |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 12016 N Radio Station Rd, Seneca, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093197980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 38156 (South Carolina) | Primary |
Entity Name | Prisma Health University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Entity Name | Anmed Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164746392 PECOS PAC ID: 1951215243 Enrollment ID: O20040315000478 |
Entity Name | Anmed Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005727 PECOS PAC ID: 1951215243 Enrollment ID: O20040723000885 |
Mailing Address | Practice Location Address |
---|---|
Michael Stephen Odom, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 695-6697 | Michael Stephen Odom, MD 12016 N Radio Station Rd, Seneca, SC 29678-1143 Ph: (864) 882-6141 |
John Franklin Miller, M. D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11082 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-2314 Fax: 864-882-3677 | |
Kevin Richard Saunders, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10110 Clemson Blvd, Seneca, SC 29678 Phone: 864-482-3148 Fax: 864-482-0505 | |
Andrew Hagenauer, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10110 Clemson Blvd, Seneca, SC 29678 Phone: 864-482-3148 Fax: 864-482-0505 | |
Sarah Elizabeth Peterson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11082 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-2314 Fax: 864-882-3677 | |
Dr. Beatriz Elena Gil-stewart, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15579 Wells Hwy, Seneca, SC 29678 Phone: 864-882-7800 Fax: 864-882-5908 | |
Ruthanne Marie Dahlheimer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11082 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-2314 |