Miss Irene H Odom, MD - Medicare Pediatrics in Fontana, CA

Miss Irene H Odom, MD is a medicare enrolled "Pediatrics" physician in Fontana, California. Her current practice location is 9961 Sierra Ave, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (909) 427-5451.

Miss Irene H Odom is licensed to practice in California (license number 132491) 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 1033553482.

Contact Information

Miss Irene H Odom, MD
9961 Sierra Ave,
Fontana, CA 92335-6720
(909) 427-5451
Not Available



Physician's Profile

Full NameMiss Irene H Odom
GenderFemale
SpecialityPediatrics
Location9961 Sierra Ave, Fontana, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033553482
  • Provider Enumeration Date: 04/27/2013
  • Last Update Date: 12/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5991083842
  • Enrollment ID: I20161026003083

Medical Identifiers

Medical identifiers for Miss Irene H Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033553482NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 132491 (California)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. Miss Irene H Odom allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823

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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. Miss Irene H 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
Miss Irene H Odom, MD
9961 Sierra Ave,
Fontana, CA 92335-6720

Ph: (909) 427-5451
Miss Irene H Odom, MD
9961 Sierra Ave,
Fontana, CA 92335-6720

Ph: (909) 427-5451

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Pediatrics Doctors in Fontana, CA

Mr. James David Killeen Iii, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9961 Sierra Ave, Kaiser Permanente Fontana - Pediatrics, Fontana, CA 92335
Phone: 909-427-6960    
Ramandeep Kaur, M.D
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336
Phone: 909-823-8000    Fax: 909-823-8088
Leslie Sison Aquino-peralta, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-3910    
Connie Lew Cheng, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-3910    
Mrs. Emma Claire Boda,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336
Phone: 909-823-8000    Fax: 909-823-8088
Eric Mun-kong Wong, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-3910    

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