Sandra Elaine Odom, - Medicare Nurse Practitioner in Perryville, AR

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Sandra Elaine Odom, is a medicare enrolled "Nurse Practitioner - Family" in Perryville, Arkansas. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Access Medical Clinic Arkansas Ltc Llc, Urgent Team Of Arkansas Physicians Llc and her current practice location is 1016 N Fourche Ave, Perryville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 238-1284.

Sandra Elaine Odom is licensed to practice in Arkansas (license number A006138) 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 1669933370.

Contact Information

Sandra Elaine Odom,
1016 N Fourche Ave,
Perryville, AR 72126-8545
(501) 238-1284
Not Available

Map and Direction




Provider's Profile

Full NameSandra Elaine Odom
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1016 N Fourche Ave, Perryville, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sandra Elaine Odom graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1669933370
  • Provider Enumeration Date: 03/26/2019
  • Last Update Date: 04/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6204178023
  • Enrollment ID: I20190426001950

Medical Identifiers

Medical identifiers for Sandra Elaine Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669933370NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care A006138 (Arkansas)Secondary
363LF0000XNurse Practitioner - Family A006138 (Arkansas)Primary
363L00000XNurse Practitioner A006138 (Arkansas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chi St Vincent MorriltonMorrilton, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Access Medical Clinic Arkansas Ltc Llc054761817596
Urgent Team Of Arkansas Physicians Llc1850539198125

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. Sandra Elaine Odom allows following entities to bill medicare on her behalf.
Entity NameMercy Clinic Fort Smith Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902073620
PECOS PAC ID: 3870668510
Enrollment ID: O20080814000789
Entity NameBradley Bibb Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699097436
PECOS PAC ID: 4789715285
Enrollment ID: O20100628000488
Entity NameUrgent Team Of Arkansas Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992041370
PECOS PAC ID: 1850539198
Enrollment ID: O20130529000209
Entity NameAccess Medical Clinic Arkansas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578007647
PECOS PAC ID: 5890077093
Enrollment ID: O20170124001288
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190913002365
Entity NameAccess Medical Clinic Arkansas Ltc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114578929
PECOS PAC ID: 0547618175
Enrollment ID: O20231208000065

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. Sandra Elaine 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 AddressPractice Location Address
Sandra Elaine Odom,
1016 N Fourche Ave,
Perryville, AR 72126-8545

Ph: (501) 238-1284		Sandra Elaine Odom,
1016 N Fourche Ave,
Perryville, AR 72126-8545

Ph: (501) 238-1284

Reviews and Comments


Nurse Practitioner Nurses in Perryville, AR

Jalesia Austin, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1016 N Fourche Ave, Perryville, AR 72126
Phone: 501-238-1284    Fax: 870-895-2164
Megan Andres, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1016 North Fourche Avenue, Perryville, AR 72126
Phone: 501-238-1284    
Rainie Jones,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 518 N Fourche Ave, Perryville, AR 72126
Phone: 501-889-5543    Fax: 501-889-5546
Dionne H Wallace, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1016 N Fourche Ave, Perryville, AR 72126
Phone: 501-238-1284    
Brandie Tindell, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1016 N Fourche Ave, Perryville, AR 72126
Phone: 870-856-1202    Fax: 870-895-2164
Holly N Griffis, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 518 N Fourche Ave, Perryville, AR 72126
Phone: 501-889-5543    

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.