Mrs Courtney Chavis Odom, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Mc Coll, South Carolina. Her current practice location is
3080 Highway 15-401 E, Mc Coll, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 523-5751.
Mrs Courtney Chavis Odom is licensed to practice in South Carolina (license number 25309) 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 1962095612.
Provider's Profile
| Full Name | Mrs Courtney Chavis Odom |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 3080 Highway 15-401 E, Mc Coll, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Courtney Chavis Odom attended and graduated from in
NPI Data:
- NPI Number: 1962095612
- Provider Enumeration Date: 02/13/2021
- Last Update Date: 01/27/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Courtney Chavis Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962095612 | NPI | - | NPPES |
| NP8401 | Medicaid | SC | |
| SCM901 | Other | SC | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 225769 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5015042 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 25309 (South Carolina) | Primary |
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 Courtney Chavis 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 |
|---|
Mrs Courtney Chavis Odom, FNP-C
Po Box 1090,
Hartsville, SC 29551-1090
Ph: (843) 857-0111 | Mrs Courtney Chavis Odom, FNP-C
3080 Highway 15-401 E,
Mc Coll, SC 29570-6128
Ph: (843) 523-5751 |
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