Tracy Odom, | |
24245 5th Ave, Florala, AL 36442-3523 | |
(334) 574-0208 | |
(334) 574-0212 |
Full Name | Tracy Odom |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 24245 5th Ave, Florala, Alabama |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104332527 | NPI | - | NPPES |
305045 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SF0001X | Clinical Nurse Specialist - Family Health | 1-111973 (Alabama) | Secondary |
363L00000X | Nurse Practitioner | 1-111973 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Andalusia Health | Andalusia, AL | Hospital |
Mizell Memorial Hospital | Opp, AL | Hospital |
North Okaloosa Medical Center | Crestview, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florala Family Care Llc | 1951704584 | 2 |
Entity Name | Wiregrass Wellness Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013117167 PECOS PAC ID: 9234106147 Enrollment ID: O20040910001105 |
Entity Name | Geneva Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366450603 PECOS PAC ID: 1153340559 Enrollment ID: O20051115000699 |
Entity Name | Florala Family Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467075275 PECOS PAC ID: 1951704584 Enrollment ID: O20210720003332 |
Mailing Address | Practice Location Address |
---|---|
Tracy Odom, 24245 5th Ave, Florala, AL 36442-3523 Ph: (334) 574-0208 | Tracy Odom, 24245 5th Ave, Florala, AL 36442-3523 Ph: (334) 574-0208 |
Terry Ann Marcen Sturm, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1073 3rd St, Florala, AL 36442 Phone: 334-858-2050 | |
Bobby Charles Kemp, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24245 5th Ave, Florala, AL 36442 Phone: 334-858-2050 Fax: 334-858-2120 |