Keith J Odegard, MD - Medicare Orthopedic Surgery in St. Louis, MO

Keith J Odegard, MD is a medicare enrolled "Orthopaedic Surgery" physician in St. Louis, Missouri. He went to University Of Minnesota Medical School and graduated in 1984 and has 40 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Mercy Clinic Surgical Specialists Llc, Physical Therapy Spine And Sports Medicine Llc and his current practice location is 12855 North Forty Drive, Suite 125, St. Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 966-0111.

Keith J Odegard is licensed to practice in Missouri (license number 2004027795) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083609614.

Contact Information

Keith J Odegard, MD
12855 North Forty Drive, Suite 125,
St. Louis, MO 63141
(314) 966-0111
(314) 966-1023



Physician's Profile

Full NameKeith J Odegard
GenderMale
SpecialityOrthopedic Surgery
Experience40 Years
Location12855 North Forty Drive, St. Louis, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Keith J Odegard attended and graduated from University Of Minnesota Medical School in 1984
  NPI Data:
  • NPI Number: 1083609614
  • Provider Enumeration Date: 09/20/2005
  • Last Update Date: 10/21/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6608833801
  • Enrollment ID: I20041220000003

Medical Identifiers

Medical identifiers for Keith J Odegard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083609614NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 2004027795 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Louis Home HealthSaint louis, MOHome health agency
Mercy Home HealthSaint louis, MOHome health agency
Mercy Hospital St LouisSaint louis, MOHospital
Mercy Hospital SouthSaint louis, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic Surgical Specialists Llc1153455076128
Physical Therapy Spine And Sports Medicine Llc317365493691

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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. Keith J Odegard allows following entities to bill medicare on his behalf.
Entity NameMercy Hospitals East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851431738
PECOS PAC ID: 1658276811
Enrollment ID: O20031218000107

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Entity NameMercy Clinic Surgical Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043530538
PECOS PAC ID: 1153455076
Enrollment ID: O20100813001038

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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. Keith J Odegard 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
Keith J Odegard, MD
12813 Flushing Meadows Drive, Suite 210,
St. Louis, MO 63131

Ph: (314) 966-0111
Keith J Odegard, MD
12855 North Forty Drive, Suite 125,
St. Louis, MO 63141

Ph: (314) 966-0111

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Orthopaedic Surgery Doctors in St. Louis, MO

Husam T Nawas, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 12855 North Forty Drive, Suite 125, North Tower, St. Louis, MO 63141
Phone: 314-966-0111    Fax: 314-966-2810
Mrs. Margaret Mary Rich, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2001 South Lindbergh Boulevard, St. Louis, MO 63131
Phone: 314-432-3600    Fax: 314-872-7808
Michael P. Nogalski, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1050 Old Des Peres Rd., Suite 100, St. Louis, MO 63131
Phone: 314-569-0612    Fax: 314-966-0664
Daemeon Achilles Nicolaou, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3635 Vista Ave, 7th Floor Desloge Towers, St. Louis, MO 63110
Phone: 314-577-8850    Fax: 314-268-5121
William B. Strecker, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1050 Old Des Peres Rd., Suite 100, St. Louis, MO 63131
Phone: 314-569-0612    Fax: 314-966-0664
David D Greenberg, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3635 Vista Ave, St. Louis University, 7th Floor Desloge Towers, Dept Of Orthopaedic Surgery, St. Louis, MO 63110
Phone: 314-577-8850    Fax: 314-268-5121

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