Mrs Lanissa Danielle Odor, FNP-BC in Horn Lake, MS

Mrs Lanissa Danielle Odor, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Horn Lake, Mississippi. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sandk Medical,llc, Fast Pace Mississippi Pllc and her current practice location is 2085 Goodman Rd W, Suite 50, Horn Lake, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 253-8459.

Mrs Lanissa Danielle Odor is licensed to practice in Mississippi (license number A810645) 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 1083056386.

Contact Information

	Mrs Lanissa Danielle Odor, FNP-BC
	2085 Goodman Rd W, Suite 50, Horn Lake, MS 38637-1416
	(662) 253-8459
	(662) 253-8678

Map and Direction

Provider's Profile

Full Name	Mrs Lanissa Danielle Odor
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	2085 Goodman Rd W, Horn Lake, Mississippi
Accepts Medicare Assignments	Yes. 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 Lanissa Danielle Odor graduated from nursing school in 2013

NPI Data:

NPI Number: 1083056386
Provider Enumeration Date: 07/27/2013
Last Update Date: 12/30/2015

Medicare PECOS Information:

PECOS PAC ID: 7810130473
Enrollment ID: I20150421001682

Medical Identifiers

Medical identifiers for Mrs Lanissa Danielle Odor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083056386	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	17722 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	A810645 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sandk Medical,llc	0446578660	2
Fast Pace Mississippi Pllc	3678832029	142

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 Lanissa Danielle Odor allows following entities to bill medicare on her behalf.

Entity Name	S&k Medical,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396134151 PECOS PAC ID: 0446578660 Enrollment ID: O20150417001003

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

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 Lanissa Danielle Odor 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 Lanissa Danielle Odor, FNP-BC 2085 Goodman Rd W, Suite 50, Horn Lake, MS 38637-1416 Ph: (662) 253-8459	Mrs Lanissa Danielle Odor, FNP-BC 2085 Goodman Rd W, Suite 50, Horn Lake, MS 38637-1416 Ph: (662) 253-8459

Reviews and Comments

Nurse Practitioner Nurses in Horn Lake, MS

Mrs. Carrie James Worsham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3102 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-342-6677 Fax: 662-342-1213
Tekela Lashay Campbell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3224 Latimer Court Cv, Horn Lake, MS 38637 Phone: 662-417-5655
Angie Crow, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6935 Windchase Dr, Horn Lake, MS 38637 Phone: 662-404-0715
Dr. Stephanie White, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3400 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-393-8022
Mrs. Rachel Ellen Litterer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3040 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-230-3420
Ashley Marissa Craddock, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3102 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-342-6676

Mrs Lanissa Danielle Odor, FNP-BC - Medicare Nurse Practitioner in Horn Lake, MS