Odyssey Family Practice

A Medicare group practice based in Spring, TX: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3476989062), with 6 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3476989062The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
AK, TX
Enrollments
2
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20200129002758 AK Part B Supplier - Clinic/Group Practice 1780142042
O20251222002929 TX Part B Supplier - Independent Clinical Laboratory 1780142042

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 6

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (5).

Sources for this page