Evans Odhiambo, in Brooklyn Park, MN - Medicare Nurse Practitioner

Evans Odhiambo, is a medicare enrolled "Nurse Practitioner" in Brooklyn Park, Minnesota. His current practice location is 8056 James Ave N, Brooklyn Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (201) 214-9999.

Evans Odhiambo is licensed to practice in Minnesota (license number 11843) 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 1992523898.

Contact Information

	Evans Odhiambo,
	8056 James Ave N, Brooklyn Park, MN 55444-1673
	(201) 214-9999
	Not Available

Map and Direction

Provider's Profile

Full Name	Evans Odhiambo
Gender	Male
Speciality	Nurse Practitioner
Location	8056 James Ave N, Brooklyn Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992523898
Provider Enumeration Date: 09/30/2024
Last Update Date: 09/30/2024

Medicare PECOS Information:

PECOS PAC ID: 4284166364
Enrollment ID: I20241014003680

Medical Identifiers

Medical identifiers for Evans Odhiambo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992523898	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11843 (Minnesota)	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. Evans Odhiambo allows following entities to bill medicare on his behalf.

Entity Name	Integrated Wound Care Minnesota Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205390457 PECOS PAC ID: 2769722511 Enrollment ID: O20190314001268

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. Evans Odhiambo 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
Evans Odhiambo, 8056 James Ave N, Brooklyn Park, MN 55444-1673 Ph: () -	Evans Odhiambo, 8056 James Ave N, Brooklyn Park, MN 55444-1673 Ph: (201) 214-9999

Reviews and Comments

Nurse Practitioner Nurses in Brooklyn Park, MN

Abagael Marie Snyder, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7650 Zane Ave N, Brooklyn Park, MN 55443 Phone: 612-873-6963
Ms. Roxanna Y. Plouff, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8500 Edinbrook Pkwy, Brooklyn Park, MN 55443 Phone: 763-425-1211 Fax: 763-425-6277
Mrs. Katilyn Marie Davis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10617 Kyle Ave N, Brooklyn Park, MN 55443 Phone: 612-802-4972
Pang Houa Lee-vang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4108 81st Ave N, Brooklyn Park, MN 55443 Phone: 612-281-8727
Dr. Christopher Michael Kissell, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10000 Zane Ave N, Brooklyn Park, MN 55443 Phone: 763-528-6999
Alade Lateef Hamza, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4808 85th Ave N Ste 300, Brooklyn Park, MN 55443 Phone: 764-377-8151
Lindsey Dawes, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7650 Zane Ave N, Brooklyn Park, MN 55443 Phone: 612-873-6963

Evans Odhiambo, - Medicare Nurse Practitioner in Brooklyn Park, MN