Benjamin Odom, CRNA | |
3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | |
(205) 977-1949 | |
(205) 977-1933 |
Full Name | Benjamin Odom |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 5 Years |
Location | 3104 Blue Lake Dr Ste 110, Vestavia, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639705767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1-142308 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Habersham County Medical Ctr | Demorest, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Total Care Anesthesia Partners Llc | 7618212200 | 3 |
Entity Name | Total Care Anesthesia Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962985168 PECOS PAC ID: 7618212200 Enrollment ID: O20190102000354 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Odom, CRNA 406 N Elm St, Mount Pleasant, TN 38474-1217 Ph: (205) 441-2996 | Benjamin Odom, CRNA 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 Ph: (205) 977-1949 |
Nicole D'amico Thomas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243 Phone: 205-977-1949 | |
Jennifer Knight, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2046 Montreat Cir, Apt A, Vestavia, AL 35216 Phone: 205-603-5675 | |
Dr. Waseem Wazir Ali Hussaini, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243 Phone: 205-977-1949 | |
Lacey Denton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3104 Blue Lake Dr, Suite 110, Vestavia, AL 35243 Phone: 334-247-8769 Fax: 334-377-4417 | |
Haley Lawrence Hudson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2290 Tanglewood Brook Ln, Vestavia, AL 35243 Phone: 205-527-0223 | |
Mrs. Rachel Hughes Davidson, DNP, FNP-BC, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3104 Blue Lake Dr, Suite 110, Vestavia, AL 35243 Phone: 205-977-1949 Fax: 205-977-1933 | |
Mr. Graham Hanson Herndon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243 Phone: 205-977-1949 |