Holly Kaylene Odom, FNP in Hattiesburg, MS - Medicare Nurse Practitioner

Holly Kaylene Odom, FNP is a medicare enrolled "Nurse Practitioner" in Hattiesburg, Mississippi. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Covington County Hospital, Hattiesburg Clinic, Pa and her current practice location is 5909 U S Highway 49 Ste 20, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 296-2800.

Holly Kaylene Odom is licensed to practice in Mississippi (license number 903803) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790392850.

Contact Information

	Holly Kaylene Odom, FNP
	5909 U S Highway 49 Ste 20, Hattiesburg, MS 39402-2860
	(601) 296-2800
	(601) 296-2802

Map and Direction

Provider's Profile

Full Name	Holly Kaylene Odom
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	5909 U S Highway 49 Ste 20, Hattiesburg, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Holly Kaylene Odom graduated from nursing school in 2018

NPI Data:

NPI Number: 1790392850
Provider Enumeration Date: 09/23/2020
Last Update Date: 09/23/2020

Medicare PECOS Information:

PECOS PAC ID: 4082033626
Enrollment ID: I20200930002077

Medical Identifiers

Medical identifiers for Holly Kaylene Odom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790392850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	903803 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Forrest General Hospital	Hattiesburg, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Covington County Hospital	4183517253	33
Hattiesburg Clinic, Pa	5193706794	488

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. Holly Kaylene Odom allows following entities to bill medicare on her behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

Entity Name	Covington County Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598769044 PECOS PAC ID: 4183517253 Enrollment ID: O20080722000557

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. Holly Kaylene 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 Address	Practice Location Address
Holly Kaylene Odom, FNP 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 296-2800	Holly Kaylene Odom, FNP 5909 U S Highway 49 Ste 20, Hattiesburg, MS 39402-2860 Ph: (601) 296-2800

Reviews and Comments

Nurse Practitioner Nurses in Hattiesburg, MS

Mrs. Lisa Deloris Slade, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401 Phone: 601-450-0310 Fax: 601-450-0321
Lyndell Sue Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000
Ms. Laura Claire Singley, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500
Kisha L Knight, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503
Melissa Ruth Tolar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212
Miss Felicia Nicole Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Hawthorne Dr, Hattiesburg, MS 39402 Phone: 662-315-0755
Mrs. Kristen Sentell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-1700

Holly Kaylene Odom, FNP - Medicare Nurse Practitioner in Hattiesburg, MS