Stephanie Barong Odoh, PA-C in Tampa, FL - Medicare Physician Assistant

Stephanie Barong Odoh, PA-C is a medicare enrolled "Physician Assistant" in Tampa, Florida. Her current practice location is 2727 W Dr Martin Luther King Jr Blvd Ste 630, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 397-5300.

Stephanie Barong Odoh is licensed to practice in Florida (license number PA9114554) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245839521.

Contact Information

	Stephanie Barong Odoh, PA-C
	2727 W Dr Martin Luther King Jr Blvd Ste 630, Tampa, FL 33607-6399
	(813) 397-5300
	(813) 876-0590

Map and Direction

Provider's Profile

Full Name	Stephanie Barong Odoh
Gender	Female
Speciality	Physician Assistant
Location	2727 W Dr Martin Luther King Jr Blvd Ste 630, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245839521
Provider Enumeration Date: 10/19/2020
Last Update Date: 06/27/2023

Medicare PECOS Information:

PECOS PAC ID: 2860804788
Enrollment ID: I20201218000257

Medical Identifiers

Medical identifiers for Stephanie Barong Odoh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245839521	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (Not Available))	Secondary
363A00000X	Physician Assistant	PA9114554 (Florida)	Primary
363A00000X	Physician Assistant	PA14142 (Texas)	Secondary

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. Stephanie Barong Odoh 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
Stephanie Barong Odoh, PA-C Po Box 82969, Tampa, FL 33682-2969 Ph: (813) 866-0930	Stephanie Barong Odoh, PA-C 2727 W Dr Martin Luther King Jr Blvd Ste 630, Tampa, FL 33607-6399 Ph: (813) 397-5300

Reviews and Comments

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Stephanie Barong Odoh, PA-C - Medicare Physician Assistant in Tampa, FL