Lynda Gayle Odom, MD
Individual provider Active NPI Family Medicine Physician · Denver City, TX
NPI 1194042069 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1194042069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- P6482 (TX)
- Practice address
- 415 N Avenue F
West Texas Medical Center
Denver City, TX 79323-2741 - Phone
- (806) 592-9501
- Fax
- (806) 592-3052
- NPI assigned
- Apr 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 9
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Yoakum
Practice addresses (Care Compare)
412 Mustang Ave
Denver City, TX 79323-5902
412 Mustang Dr
Denver City, TX 79323
412 Mustang Dr
Denver City, TX 79323-2762
Phone (806) 592-2121
603 Cowboy Way
Plains, TX 79355-9998
P O Box
Suite 1130
Denver City, TX 79323-1130
PO Box
Suite 1130
Denver City, TX 79323-1130
Hospital & facility affiliations
- Calvert Home Health Care LTD
- Excelacare Home Health
- Excelacare Home Health
- Excelacare Hospice
- Yoakum County Hospital
- Memorial Hospital
- Covenant Childrens Hospital
- Shinnery Oaks Community
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Shinnery Oaks Community |
Skilled nursing facility | Adp of the SNF | Nov 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131007000192 | TX | Practitioner - Family Practice | 6406080498 |
Reassigns benefits to 2 organizations Practice locations: Denver City, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Yoakum | Current |
Accepting new patients | |
| County of Yoakum | Current |
Accepting new patients | |
| County of Yoakum | Past | Accepting new patients |
Locations
412 Mustang Ave
Denver City, TX 79323
Phone (806) 592-2121
415 N Avenue F
Denver City, TX 79323
Phone (806) 592-9501
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P6482 | TX | Yes |
Addresses
Primary practice location
415 N Avenue F
West Texas Medical Center
Denver City, TX 79323-2741
Mailing address
415 N Avenue F
Denver City, TX 79323-2741
Phone (806) 592-9501
Other providers in Denver City, TX
- Micaela Luisa Martinez
- Larissa Nicole McAlpine
- Kyla McGary
- Sharon Mendez
- William H Miears
- Tolulope Oyebola Oke
- Palace Drug Store
- Shannon Parker
- Julia Kathleen Pirtle
- Sarala Kumari Sajja
All providers in Denver City, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.