Madeline Odom
Physician Assistant in Ferndale, MI. Individual provider (NPI-1).
NPI number1992583793
StatusActive
Last updated in NPPESAug 19, 2026
Details
- NPI
- 1992583793
- Entity type
- Individual (NPI-1)
- Name
- Madeline Odom
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2023
- Certification date
- Aug 19, 2026
- Last updated
- Aug 19, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601012046 | MI | Yes |
Practice location
2104 Pinecrest DrFerndale, MI 48220-1225
Phone 248-977-2898
Mailing address
2104 Pinecrest DrFerndale, MI 48220-1225
Phone 248-977-2898 · Fax 888-268-2145
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 18 Physician Assistant providers in Ferndale · All 725 providers in Ferndale
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