Shaun Vernon Odell, MD in Provo, UT

Shaun Vernon Odell, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Provo, Utah. His current practice location is 1034 N 500 W, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 442-3059.

Shaun Vernon Odell is licensed to practice in Utah (license number 9394929-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366686545.

Contact Information

	Shaun Vernon Odell, MD
	1034 N 500 W, Provo, UT 84604-3380
	(801) 442-3059
	Not Available

Map and Direction

Physician's Profile

Full Name	Shaun Vernon Odell
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	1034 N 500 W, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366686545
Provider Enumeration Date: 05/01/2009
Last Update Date: 09/30/2021

Medicare PECOS Information:

PECOS PAC ID: 6507081676
Enrollment ID: I20150710002641

Medical Identifiers

Medical identifiers for Shaun Vernon Odell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366686545	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	9394929-1205 (Utah)	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. Shaun Vernon Odell allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Shaun Vernon Odell 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
Shaun Vernon Odell, MD 4800 Sand Point Way Ne, Seattle, WA 98105-3901 Ph: (206) 987-2675	Shaun Vernon Odell, MD 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 442-3059

Reviews and Comments

Pediatrics Doctors in Provo, UT

Dr. Renae Holland, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1300 E Center St, Utah State Hospital, Provo, UT 84606 Phone: 801-344-4311 Fax: 801-344-4225
Dr. Joshua Darrell Fuller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1675 N Freedom Blvd Ste 3, Provo, UT 84604 Phone: 801-377-8000
Jordan Gaudio, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-1700
Danielle Elise Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8411
Dr. Chuanchau Jerry Jou, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 311, Provo, UT 84604 Phone: 385-477-6800 Fax: 385-477-6801
Leslie Mark Lang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7707
Bradley Wayne Anderson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1355 N University Ave, #210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811

Shaun Vernon Odell, MD - Medicare Pediatrics in Provo, UT