Active NPI
Pamela Michelle Odell, PAC
- Physician Assistant
- Summersville, WV
National Provider Identifier
1821037102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 01063
- Practice address
- #1 Stevens Rd
Seneca Health Services Inc
Summersville, WV 26651 - Phone
- (304) 872-2659
- Fax
- (304) 872-1685
- NPI assigned
- Jun 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 01063 | WV | Primary |
Addresses
Primary practice location
#1 Stevens Rd
Seneca Health Services Inc
Summersville, WV 26651
Mailing address
1305 Webster Rd
Seneca Health Services Inc
Summersville, WV 26651
Phone (304) 872-6796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1100 Main St
Suite 104
Wheeling, WV 26003-2737
Phone (304) 460-5123
120 Professional PL
Bridgeport, WV 26330-4599
Phone (304) 460-5123
400 Foxcroft Ave
Martinsburg, WV 25401-5302
Phone (304) 560-5123
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1063 | WV | MD | Psychologist |
| 01063 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GR&W, Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Neuropsychologist
- Morgantown, WV
- NPI 1407192024
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morgantown, WV
- NPI 1992665723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821037102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 WEBSTER RD",
"address_2": "SENECA HEALTH SERVICES INC",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "26651",
"telephone_number": "304-872-6796",
"fax_number": "304-872-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#1 STEVENS RD",
"address_2": "SENECA HEALTH SERVICES INC",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "26651",
"telephone_number": "304-872-2659",
"fax_number": "304-872-1685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODELL",
"first_name": "PAMELA",
"middle_name": "MICHELLE",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "01063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.