Fredrick Odongo, - Medicare Nurse Practitioner in Arlington, TX

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Fredrick Odongo, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Arlington, Texas. His current practice location is 715 N Fielder Rd, Arlington, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 962-0409.

Fredrick Odongo is licensed to practice in Texas (license number 1051796) 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 1104582006.

Contact Information

Fredrick Odongo,
715 N Fielder Rd,
Arlington, TX 76012-4695
(817) 962-0409
Not Available

Map and Direction




Provider's Profile

Full NameFredrick Odongo
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location715 N Fielder Rd, Arlington, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104582006
  • Provider Enumeration Date: 11/15/2021
  • Last Update Date: 11/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7618362070
  • Enrollment ID: I20220322000307

Medical Identifiers

Medical identifiers for Fredrick Odongo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104582006NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 1051796 (Texas)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. Fredrick Odongo allows following entities to bill medicare on his behalf.
Entity NameIpc Pac Healthcare Services Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194174201
PECOS PAC ID: 1759676307
Enrollment ID: O20160823000163
Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210820003080
Entity NameUltimate Mind And Wellness Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962184341
PECOS PAC ID: 3870955941
Enrollment ID: O20230822001295

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. Fredrick Odongo 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
Fredrick Odongo,
8206 Ithaca Dr,
Arlington, TX 76002-4423

Ph: (817) 412-3406		Fredrick Odongo,
715 N Fielder Rd,
Arlington, TX 76012-4695

Ph: (817) 962-0409

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).

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