Shaun Vernon Odell, MD - Medicare Pediatrics in Provo, UT

Shaun Vernon Odell, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Provo, Utah. His current practice location is 1034 N 500 W, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 442-3059.

Shaun Vernon Odell is licensed to practice in Utah (license number 9394929-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366686545.

Contact Information

Shaun Vernon Odell, MD
1034 N 500 W,
Provo, UT 84604-3380
(801) 442-3059
Not Available



Physician's Profile

Full NameShaun Vernon Odell
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location1034 N 500 W, Provo, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366686545
  • Provider Enumeration Date: 05/01/2009
  • Last Update Date: 09/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6507081676
  • Enrollment ID: I20150710002641

Medical Identifiers

Medical identifiers for Shaun Vernon Odell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366686545NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 9394929-1205 (Utah)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. Shaun Vernon Odell allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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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. Shaun Vernon Odell 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
Shaun Vernon Odell, MD
4800 Sand Point Way Ne,
Seattle, WA 98105-3901

Ph: (206) 987-2675
Shaun Vernon Odell, MD
1034 N 500 W,
Provo, UT 84604-3380

Ph: (801) 442-3059

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Pediatrics Doctors in Provo, UT

Dr. Renae Holland, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1300 E Center St, Utah State Hospital, Provo, UT 84606
Phone: 801-344-4311    Fax: 801-344-4225
Dr. Joshua Darrell Fuller, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1675 N Freedom Blvd Ste 3, Provo, UT 84604
Phone: 801-377-8000    
Jordan Gaudio, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1034 N 500 W, Provo, UT 84604
Phone: 801-357-1700    
Danielle Elise Smith, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1034 N 500 W, Provo, UT 84604
Phone: 801-357-8411    
Dr. Chuanchau Jerry Jou, DO
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 300 W Ste 311, Provo, UT 84604
Phone: 385-477-6800    Fax: 385-477-6801
Leslie Mark Lang, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1034 N 500 W, Provo, UT 84604
Phone: 801-357-7707    
Bradley Wayne Anderson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1355 N University Ave, #210, Provo, UT 84604
Phone: 801-373-8930    Fax: 801-377-6811

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