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
- 3476989062
- Provider type
- Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
- Enrolled in
- AK, TX
- Enrollments
- 2
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| 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 RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Odyssey Family Practice
- Family Medicine Physician
- Kenai, AK
- NPI 1780142042
-
Odyssey Urgent Care and Occupational Health
- Urgent Care Clinic/Center
- Kenai, AK
- NPI 1265203160
Practice locations
- Kenai, AK1
- Spring, TX1
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (5).
-
Sarah Ashley Kurka, PA-C
- Physician Assistant
- Kenai, AK
- NPI 1649167453
-
Norvin Perez, MD
- Non-Pharmacy Dispensing Site
- Juneau, AK
- NPI 1346235819
-
Chris L Shults, PA-C
- Medical Physician Assistant
- Kenai, AK
- NPI 1245428770
-
Megan Lynn Stanley, PA-C
- Physician Assistant
- Bethel, AK
- NPI 1245992312
-
Jerry Ross Tanner II, D.O.
- Endocrinology, Diabetes & Metabolism Physician
- Anchorage, AK
- NPI 1962580480
-
Jared Lee Wallace, PA-C
- Physician Assistant
- Kenai, AK
- NPI 1063746667
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.