Heidi Lisa Odum, APRN - Medicare Nurse Practitioner in Concord, NH

Heidi Lisa Odum, APRN is a medicare enrolled "Nurse Practitioner" physician in Concord, New Hampshire. Her current practice location is 224 Pleasant Street, Suite G300, Concord, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 224-9995.

Heidi Lisa Odum is licensed to practice in New Hampshire (license number 064437-23) 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 1730814260.

Contact Information

Heidi Lisa Odum, APRN
224 Pleasant Street, Suite G300,
Concord, NH 03301
(603) 224-9995
(603) 226-0859



Physician's Profile

Full NameHeidi Lisa Odum
GenderFemale
SpecialityNurse Practitioner
Location224 Pleasant Street, Suite G300, Concord, New Hampshire
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730814260
  • Provider Enumeration Date: 07/19/2022
  • Last Update Date: 09/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2668858606
  • Enrollment ID: I20221025001939

Medical Identifiers

Medical identifiers for Heidi Lisa Odum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730814260NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 064437-23 (New Hampshire)Secondary
363L00000XNurse Practitioner 064437-23 (New Hampshire)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. Heidi Lisa Odum allows following entities to bill medicare on her behalf.
Entity NameNephrology Associates, P. A.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073630752
PECOS PAC ID: 6608811708
Enrollment ID: O20050620000850

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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. Heidi Lisa Odum 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
Heidi Lisa Odum, APRN
248 Pleasant St Ste G300,
Concord, NH 03301-7530

Ph: (603) 224-9995
Heidi Lisa Odum, APRN
224 Pleasant Street, Suite G300,
Concord, NH 03301

Ph: (603) 224-9995

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