Dr Susan Dean Odom, PHD - Medicare Psychologist in San Antonio, TX

Dr Susan Dean Odom, PHD is a medicare enrolled "Psychologist" provider in San Antonio, Texas. Her current practice location is 13423 Blanco Rd Unit 803, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 689-1100.

Dr Susan Dean Odom is licensed to practice in Texas (license number 33728) 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 1043481195.

Contact Information

Dr Susan Dean Odom, PHD
13423 Blanco Rd Unit 803,
San Antonio, TX 78216-2187
(210) 689-1100
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Susan Dean Odom
GenderFemale
SpecialityPsychologist
Location13423 Blanco Rd Unit 803, San Antonio, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043481195
  • Provider Enumeration Date: 03/17/2008
  • Last Update Date: 05/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1456423953
  • Enrollment ID: I20081208000756

Medical Identifiers

Medical identifiers for Dr Susan Dean Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043481195NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral 33728 (Texas)Secondary
103TC1900XPsychologist - Counseling 33728 (Texas)Secondary
103TH0004XPsychologist - Health 33728 (Texas)Secondary
103T00000XPsychologist 33728 (Texas)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. Dr Susan Dean 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
Dr Susan Dean Odom, PHD
13423 Blanco Rd Unit 803,
San Antonio, TX 78216-2187

Ph: (210) 557-2266
Dr Susan Dean Odom, PHD
13423 Blanco Rd Unit 803,
San Antonio, TX 78216-2187

Ph: (210) 689-1100

Reviews and Comments


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