Dr Rebecca Erion Odom, MD - Medicare Surgery in Johnson City, TN

Dr Rebecca Erion Odom, MD is a medicare enrolled "Surgery" physician in Johnson City, Tennessee. Her current practice location is 2333 Knob Creek Rd Ste 16, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 975-0764.

Dr Rebecca Erion Odom is licensed to practice in Tennessee (license number 65533) 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 1093241598.

Contact Information

Dr Rebecca Erion Odom, MD
2333 Knob Creek Rd Ste 16,
Johnson City, TN 37604-2007
(423) 975-0764
(423) 975-0141



Physician's Profile

Full NameDr Rebecca Erion Odom
GenderFemale
SpecialitySurgery
Location2333 Knob Creek Rd Ste 16, Johnson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093241598
  • Provider Enumeration Date: 05/04/2017
  • Last Update Date: 04/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9830544956
  • Enrollment ID: I20231010002330

Medical Identifiers

Medical identifiers for Dr Rebecca Erion Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093241598NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 65533 (Tennessee)Primary

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. Dr Rebecca Erion Odom allows following entities to bill medicare on her behalf.
Entity NameSurgical Group Of Johnson City, Mpc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750301685
PECOS PAC ID: 5698763431
Enrollment ID: O20040503000346

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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 Rebecca Erion 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 Rebecca Erion Odom, MD
Po Box 3889,
Johnson City, TN 37602-3889

Ph: (423) 794-5742
Dr Rebecca Erion Odom, MD
2333 Knob Creek Rd Ste 16,
Johnson City, TN 37604-2007

Ph: (423) 975-0764

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Surgery Doctors in Johnson City, TN

Dr. Melissa A Powell, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 410 N State Of Franklin Rd, Suite 130, Johnson City, TN 37604
Phone: 423-431-2477    Fax: 423-431-2478
Dr. David Northern Walters, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: James H. Quillen/vamc, Corner Of Sidney And Lamont, Johnson City, TN 37684
Phone: 423-926-1171    Fax: 423-979-3477
Michael J Allshouse, DO
Surgery
Medicare: Medicare Enrolled
Practice Location: 325 N State Of Franklin Rd Fl 3, Johnson City, TN 37604
Phone: 423-439-7201    Fax: 423-439-7219
Isaac William Browder, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 325 N State Of Franklin Rd, 3rd Floor, Johnson City, TN 37604
Phone: 423-439-7201    Fax: 423-439-7219
Ryan M Landis, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 410 N State Of Franklin Rd Ste 130, Johnson City, TN 37604
Phone: 423-431-2477    Fax: 423-431-2478
Tony O. Haley, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3 Professional Park Dr Ste 31, Johnson City, TN 37604
Phone: 423-975-5650    Fax: 423-975-5652

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