| Kenneth Franklin Odom, PA | |
|
1500 Ross Clark Cir, Dothan, AL 36301-4754 | |
| (334) 793-2663 | |
| (334) 836-2247 |
| Full Name | Kenneth Franklin Odom |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 1500 Ross Clark Cir, Dothan, Alabama |
| 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 |
|---|---|---|---|
| 1982639738 | NPI | - | NPPES |
| 003140733A | Medicaid | GA | |
| 121885 | Medicaid | AL | |
| 003140729A | Medicaid | GA | |
| 009940319 | Medicaid | AL | |
| 0515580730 | Other | AL | MEDICARE |
| 511-09068 | Other | AL | BCBS OF AL - HEALTHWEST |
| 515-37977 | Other | AL | BCBS OF AL - RCC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.504 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flowers Hospital | Dothan, AL | Hospital |
| Southeast Alabama Medical Center | Dothan, AL | Hospital |
| Dale Medical Center | Ozark, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| S.b.j.s. Pc | 8527043421 | 38 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Franklin Odom, PA Po Box 729, Dothan, AL 36302-0729 Ph: (334) 793-2663 | Kenneth Franklin Odom, PA 1500 Ross Clark Cir, Dothan, AL 36301-4754 Ph: (334) 793-2663 |
Mrs. Jennifer Marie Echols, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2248 | |
Micheal S Shivers, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191 | |
Natalie Stokes Barefield, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1812 E Main St, Dothan, AL 36301 Phone: 334-792-5184 Fax: 334-792-5190 | |
Mrs. Kelli Nicole Heer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 106 Westside Dr, Dothan, AL 36303 Phone: 877-231-3376 Fax: 850-522-8354 | |
Mr. Dean Daniel Marturello, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2248 | |
Sophia Shea Marino, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8111 | |
James Kevin Brannon, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2248 |