Nicole Odom, - Nurse Anesthetist, Certified Registered in Philadelphia, PA

Nicole Odom, is a Nurse Anesthetist, Certified Registered based in Philadelphia, Pennsylvania. Nicole Odom is licensed to practice in Pennsylvania (license number RN787676) and her current practice location is 111 S 11th St, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (215) 955-6000.

NPI number for Nicole Odom is 1669216602 and her current mailing address is 5853 Trestle Way, Knoxville, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669216602.

Contact Information

Nicole Odom,
111 S 11th St,
Philadelphia, PA 19107-4870
(215) 955-6000
Not Available

Map and Direction




Provider's Profile

Full NameNicole Odom
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location111 S 11th St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669216602
  • Provider Enumeration Date: 06/24/2024
  • Last Update Date: 06/24/2024

Medical Identifiers

Medical identifiers for Nicole Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669216602NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN787676 (Pennsylvania)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. Nicole 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 AddressPractice Location Address
Nicole Odom,
5853 Trestle Way,
Knoxville, TN 37918-7083

Ph: (801) 502-8194
Nicole Odom,
111 S 11th St,
Philadelphia, PA 19107-4870

Ph: (215) 955-6000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Philadelphia, PA

Victor Abarca, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 5800 Ridge Ave., Philadelphia, PA 19128
Phone: 251-483-9900    
Donna Simmers, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2301 E Allegheny Ave, Philadelphia, PA 19134
Phone: 215-291-3000    
Catrina Jones, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 Spruce St, Philadelphia, PA 19107
Phone: 215-829-5664    
Veronica Mooney, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120
Phone: 215-456-7000    Fax: 215-254-2599
Lauren Bruce, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120
Phone: 215-456-7000    Fax: 215-254-2599
Mrs. Jaiby V George, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3401 N. Broad Street, Philadelphia, PA 19140
Phone: 215-707-3326    Fax: 215-707-8028
Carlene M Mclaughlin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Spruce St, Philadelphia, PA 19104
Phone: 215-349-8310    

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.