William Thomas Odom Ii, MD is a
Anesthesiology - Pain Medicine physician based in Irmo, South Carolina. William Thomas Odom Ii is licensed to practice in South Carolina (license number 16893) and his current practice location is 7921 Broad River Rd, Irmo, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(803) 749-8585.
NPI number for William Thomas Odom Ii is 1598717167 and his current mailing address is Po Box 1997, Irmo, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598717167.
Physician's Profile
| Full Name | William Thomas Odom Ii |
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| Gender | Male |
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| Speciality | Anesthesiology - Pain Medicine |
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| Location | 7921 Broad River Rd, Irmo, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598717167
- Provider Enumeration Date: 05/16/2006
- Last Update Date: 04/29/2013
Medical Identifiers
Medical identifiers for William Thomas Odom Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598717167 | NPI | - | NPPES |
| GP1452 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 16893 (South Carolina) | 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. William Thomas Odom Ii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
William Thomas Odom Ii, MD
Po Box 1997,
Irmo, SC 29063-1997
Ph: (803) 749-8585 | William Thomas Odom Ii, MD
7921 Broad River Rd,
Irmo, SC 29063-2358
Ph: (803) 749-8585 |
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