Mrs Carla Odom, - Medicare Nurse Practitioner in Kokomo, MS

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Mrs Carla Odom, is a medicare enrolled "Nurse Practitioner - Family" in Kokomo, Mississippi. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Blackwells Family Medicine Llc and her current practice location is 963 Taylor Rd, Kokomo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 303-0050.

Mrs Carla Odom is licensed to practice in Mississippi (license number 904705) 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 1043827900.

Contact Information

Mrs Carla Odom,
963 Taylor Rd,
Kokomo, MS 39643-4967
(601) 303-0050
Not Available

Map and Direction




Provider's Profile

Full NameMrs Carla Odom
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location963 Taylor Rd, Kokomo, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Carla Odom graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1043827900
  • Provider Enumeration Date: 09/24/2020
  • Last Update Date: 02/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8527453224
  • Enrollment ID: I20220316000698

Medical Identifiers

Medical identifiers for Mrs Carla Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043827900NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 904705 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Walthall County General Hospital CahTylertown, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blackwells Family Medicine Llc07496163813

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. Mrs Carla Odom allows following entities to bill medicare on her behalf.
Entity NameBlackwells Family Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366003436
PECOS PAC ID: 0749616381
Enrollment ID: O20200130001390

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. Mrs Carla 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 AddressPractice Location Address
Mrs Carla Odom,
107 Ball Ave,
Tylertown, MS 39667-2101

Ph: (601) 377-1975		Mrs Carla Odom,
963 Taylor Rd,
Kokomo, MS 39643-4967

Ph: (601) 303-0050

Reviews and Comments


Nurse Practitioner Nurses in Kokomo, MS

Mrs. Kimberly Cathleen Martin, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 607 Old Highway 24 W, Kokomo, MS 39643
Phone: 601-674-0508    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.