Mrs Crystal Noel Odegard, PA-C - Physician Assistant in Eagle, ID

Mrs Crystal Noel Odegard, PA-C is a Physician Assistant based in Eagle, Idaho. Mrs Crystal Noel Odegard is licensed to practice in Idaho (license number PA-1982) and her current practice location is 1079 S Ancona Ave Ste 100, Eagle, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 853-2273.

NPI number for Mrs Crystal Noel Odegard is 1962081810 and her current mailing address is 1652 W Sunny Slope Dr, Meridian, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962081810.

Contact Information

Mrs Crystal Noel Odegard, PA-C
1079 S Ancona Ave Ste 100,
Eagle, ID 83616-7443
(208) 853-2273
Not Available

Map and Direction




Provider's Profile

Full NameMrs Crystal Noel Odegard
GenderFemale
SpecialityPhysician Assistant
Location1079 S Ancona Ave Ste 100, Eagle, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962081810
  • Provider Enumeration Date: 04/07/2021
  • Last Update Date: 04/07/2021

Medical Identifiers

Medical identifiers for Mrs Crystal Noel Odegard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962081810NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA-1982 (Idaho)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 Crystal Noel Odegard is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Crystal Noel Odegard, PA-C
1652 W Sunny Slope Dr,
Meridian, ID 83642-4336

Ph: (541) 285-4851
Mrs Crystal Noel Odegard, PA-C
1079 S Ancona Ave Ste 100,
Eagle, ID 83616-7443

Ph: (208) 853-2273

Reviews and Comments


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