Catherine Re'nae Odom, ARNP-BC, FNP - Medicare Nurse Practitioner in Jacksonville, FL

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Catherine Re'nae Odom, ARNP-BC, FNP is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. Her current practice location is 13500 Sutton Park Drive South, Suite 403, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 493-3390.

Catherine Re'nae Odom is licensed to practice in Florida (license number ARNP9190635) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740526649.

Contact Information

Catherine Re'nae Odom, ARNP-BC, FNP
13500 Sutton Park Drive South, Suite 403,
Jacksonville, FL 32224-5291
(904) 493-3390
(904) 493-3395

Map and Direction




Provider's Profile

Full NameCatherine Re'nae Odom
GenderFemale
SpecialityNurse Practitioner - Family
Location13500 Sutton Park Drive South, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740526649
  • Provider Enumeration Date: 12/20/2012
  • Last Update Date: 04/10/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6709030844
  • Enrollment ID: I20130125000314

Medical Identifiers

Medical identifiers for Catherine Re'nae Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740526649NPI-NPPES
45681OtherFLMEDICARE - GROUP
Y0FX6OtherFLFLORIDA BLUE
GW733YOtherFLMEDICARE - INDIVIDUAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family ARNP9190635 (Florida)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. Catherine Re'nae Odom allows following entities to bill medicare on her behalf.
Entity NameCardiac Vision Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144651373
PECOS PAC ID: 9032349733
Enrollment ID: O20140225001134
Entity NameMobile Visiting Practitioners, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265915359
PECOS PAC ID: 7810239100
Enrollment ID: O20190507002879
Entity NameIslimlipo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801409909
PECOS PAC ID: 3375962137
Enrollment ID: O20200928001710
Entity NameVmd Primary Providers Central Florida Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134738974
PECOS PAC ID: 2860806197
Enrollment ID: O20210128001072
Entity NamePrimary Care Solutions Jacksonville Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407555154
PECOS PAC ID: 9739553207
Enrollment ID: O20230323002085

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. Catherine Re'nae 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 AddressPractice Location Address
Catherine Re'nae Odom, ARNP-BC, FNP
13500 Sutton Park Drive South, Suite 403,
Jacksonville, FL 32224-5291

Ph: (904) 493-3390		Catherine Re'nae Odom, ARNP-BC, FNP
13500 Sutton Park Drive South, Suite 403,
Jacksonville, FL 32224-5291

Ph: (904) 493-3390

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.