Jennifer Odren (NPI# 1821384249, PAC ID# 4789904376) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1821384249 |
| PAC ID by PECOS | 4789904376 |
| Professional Enrollment ID | I20150521002130 |
| Full Name | Jennifer Odren |
| Organization Legal Name | KIDNEY CARE SPECIALISTS OF MICHIGAN PC |
| Address |
29001 Harper Ave Saint Clair Shores MI 48081-2711 |
| Phone Number | 5867780664 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5597940080 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| 230269 | BEAUMONT HOSPITAL, TROY |
| 230047 | HENRY FORD MACOMB HOSPITAL |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 29001 Harper Ave, Saint Clair Shores, MI 48081-2711 | 5867780664 | KIDNEY CARE SPECIALISTS OF MICHIGAN PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 15% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 30% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 15% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 33% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 85% |
| Organization Legal Name | KIDNEY CARE SPECIALISTS OF MICHIGAN PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blessing N Okoronkwo | Nephrology | Kidney Care Specialists of Michigan PC | 29001 Harper Ave, Saint Clair Shores, MI 48081-2711 |
| Rakesh Lattupalli | Nephrology | Kidney Care Specialists of Michigan PC | 29001 Harper Ave, Saint Clair Shores, MI 48081-2711 |
| Street Address |
29001 HARPER AVE |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip | 48081-2711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blessing N Okoronkwo | Nephrology | Kidney Care Specialists of Michigan PC | 29001 Harper Ave, Saint Clair Shores, MI 48081-2711 |
| Rakesh Lattupalli | Nephrology | Kidney Care Specialists of Michigan PC | 29001 Harper Ave, Saint Clair Shores, MI 48081-2711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Xavier Burgoyne | Family Medicine | Ascension St John Hospital | 19901 E 10 Mile Rd, Harper Family Practice, St Clair Shores, MI 48081-1069 |
| Anthony Gerald Paniccia | Family Medicine | Ascension St John Hospital | 19901 E 10 Mile Rd, Harper Family Practice, St Clair Shores, MI 48081-1069 |
| Neil Thomas Shaw | Podiatry | Anthony V Benenati Dpm PC | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 |
| James R Hrynik | Certified Registered Nurse Anesthetist (crna) | Ascension St John Hospital | 21000 E 12 Mile Rd, St Clair Shores, MI 48081-1116 |
| Douglas C Kubek | Otolaryngology | Ascension St John Hospital | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Wafa Barkho | Family Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Ronald D Hertz | Internal Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Brigitte M Ngoyi | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| John Woo Lee | Pulmonary Disease | Pulmonary and Critical Care Associates PC | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1156 |
| Regina R Frost | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| Find all physicians in zip 48081 | |||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
| Specialty | NEPHROLOGY |
| City + Specialty | SAINT CLAIR SHORES + NEPHROLOGY |
Please comment or provide details below to improve the information on Jennifer Odren.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.