Mrs Mandy Lee Odom, APRN is a
Nurse Practitioner - Family based in Sturgis, Kentucky. Mrs Mandy Lee Odom is licensed to practice in Kentucky (license number 3018830) and her current practice location is
711 N Kelsey St, Sturgis, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(270) 952-5653.
NPI number for Mrs Mandy Lee Odom is 1508643974 and her current mailing address is 711 N Kelsey St, Sturgis, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508643974.
Provider's Profile
Full Name | Mrs Mandy Lee Odom |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 711 N Kelsey St, Sturgis, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508643974
- Provider Enumeration Date: 09/11/2023
- Last Update Date: 09/11/2023
Medical Identifiers
Medical identifiers for Mrs Mandy Lee Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508643974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 3018830 (Kentucky) | 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 Mandy Lee Odom 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 Address | Practice Location Address |
Mrs Mandy Lee Odom, APRN 711 N Kelsey St, Sturgis, KY 42459-1434 Ph: (270) 952-5653 | Mrs Mandy Lee Odom, APRN 711 N Kelsey St, Sturgis, KY 42459-1434 Ph: (270) 952-5653 |
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