Keith Wayne Odendahl, NP | |
7777 Hennessy Blvd, Suite1000, Baton Rouge, LA 70808-4300 | |
(225) 767-3900 | |
(225) 214-9109 |
Full Name | Keith Wayne Odendahl |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 24 Years |
Location | 7777 Hennessy Blvd, Baton Rouge, Louisiana |
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 |
---|---|---|---|
1811977846 | NPI | - | NPPES |
P00712670 | Other | LA | RAILROAD MCARE THRU PEPA |
1431940 | Medicaid | LA | |
310063 | Other | LA | WELLCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | AP03719 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Convenient Care Llc | 1153306816 | 48 |
Hulin Urgent Care Services Llc | 6800051285 | 111 |
Dm Properties Of Lafayette, Llc | 8527292986 | 15 |
Entity Name | Convenient Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164422630 PECOS PAC ID: 1153306816 Enrollment ID: O20040618000886 |
Entity Name | St. John Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265401509 PECOS PAC ID: 4082641303 Enrollment ID: O20050719000541 |
Entity Name | Coastal Urgent Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568601425 PECOS PAC ID: 8729138896 Enrollment ID: O20090611000042 |
Entity Name | Hulin Urgent Care Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699049262 PECOS PAC ID: 6800051285 Enrollment ID: O20120710000537 |
Entity Name | Dm Properties Of Lafayette, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659613537 PECOS PAC ID: 8527292986 Enrollment ID: O20140327000988 |
Entity Name | In And Out Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851725154 PECOS PAC ID: 5991937054 Enrollment ID: O20140404000397 |
Entity Name | In And Out Urgent Care Covington, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366926040 PECOS PAC ID: 0143574426 Enrollment ID: O20181127000436 |
Mailing Address | Practice Location Address |
---|---|
Keith Wayne Odendahl, NP 30 Burton Hills Blvd, Ste 175, Nashville, TN 37215-6403 Ph: (615) 988-2014 | Keith Wayne Odendahl, NP 7777 Hennessy Blvd, Suite1000, Baton Rouge, LA 70808-4300 Ph: (225) 767-3900 |
Yolanda Rochelle Cockerham, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3140 Florida Blvd, Baton Rouge, LA 70806 Phone: 225-650-2000 Fax: 225-650-2099 | |
Celeste Buuck, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 1000, Baton Rouge, LA 70808 Phone: 225-767-3900 Fax: 225-766-2226 | |
Michelle W. Hilliard, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3140 Florida Blvd, Baton Rouge, LA 70806 Phone: 225-650-2000 | |
Sarah Kilpatrick Wylie, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5231 Brittany Dr, Baton Rouge, LA 70808 Phone: 225-769-0933 Fax: 225-769-6255 | |
Stephanie Guidry Thomas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 105, Baton Rouge, LA 70808 Phone: 225-215-0250 Fax: 225-215-1688 | |
Pamela Stanley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 701, Baton Rouge, LA 70808 Phone: 225-765-5864 Fax: 225-765-2013 | |
Mandy Gayle Keown, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10310 The Grove Blvd, Baton Rouge, LA 70836 Phone: 225-761-5200 |