Jessica J T Oddo (NPI# 1902032071, PAC ID# 6103970520) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1902032071 |
| PAC ID by PECOS | 6103970520 |
| Professional Enrollment ID | I20090820000131 |
| Full Name | Jessica J T Oddo |
| Organization Legal Name | MOUNTAIN MEDICAL GROUP LLC |
| Address |
1302 Ne 3rd St Bend OR 97701-4333 |
| Phone Number | 5413887799 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8820060940 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380047 | ST CHARLES MEDICAL CENTER - BEND |
| Address | Phone | Organization |
|---|---|---|
| 1302 Ne 3rd St, Bend, OR 97701-4333 | 5413887799 | MOUNTAIN MEDICAL GROUP LLC |
| Organization Legal Name | MOUNTAIN MEDICAL GROUP LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert J Stone Jr. | Emergency Medicine | Mountain Medical Group LLC | 1302 Ne 3rd St, Bend, OR 97701-4333 |
| Brian J Daly | Physician Assistant | Mountain Medical Group LLC | 1302 Ne 3rd St, Bend, OR 97701-4333 |
| Monica R Giamellaro | Physician Assistant | Mountain Medical Group LLC | 1302 Ne 3rd St, Bend, OR 97701-4333 |
| Keith E Harrington | Internal Medicine | Mountain Medical Group LLC | 1302 Ne 3rd St, Bend, OR 97701-4333 |
| Street Address |
1302 NE 3RD ST |
| City | BEND |
| State | OR |
| Zip | 97701-4333 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert J Stone Jr. | Emergency Medicine | Mountain Medical Group LLC | 1302 Ne 3rd St, Bend, OR 97701-4333 |
| Brian J Daly | Physician Assistant | Mountain Medical Group LLC | 1302 Ne 3rd St, Bend, OR 97701-4333 |
| Monica R Giamellaro | Physician Assistant | Mountain Medical Group LLC | 1302 Ne 3rd St, Bend, OR 97701-4333 |
| Keith E Harrington | Internal Medicine | Mountain Medical Group LLC | 1302 Ne 3rd St, Bend, OR 97701-4333 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria T Allen | Physician Assistant | Neuromusculoskeletal Center of The Cascades PC | 1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701 |
| Mark K Spencer | Physician Assistant | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Kimberly Ann Kleaveland | Nurse Practitioner | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Brent C Wesenberg | Emergency Medicine | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Brett I Gingold | Orthopedic Surgery | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Courtney Nicole Walker | Gastroenterology | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Katrina Cypcar | Physician Assistant | Neuromusculoskeletal Center of The Cascades PC | 1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701 |
| Derek Beeson Smith | Orthopedic Surgery | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Mary P Manfredi | Internal Medicine | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Ashley Moore Mcclary | Obstetrics/gynecology | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Find all physicians in zip 97701 | |||
| City | BEND |
| Zip Code | 97701 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BEND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica J T Oddo.
| 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.