Stacey Elaine Oddera

APRN | Nurse Practitioner | 4+ years Exp

98 Peach Ridge Rd, Anna
  Illinois, 62906-2243
618-614-1400
Accepts Medicare Nurse Anesthetist in Anna, Illinois.
Stacey Elaine Oddera is a Anna, Illinois based nurse practitioner with 4 years of experience in . She completed her graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stacey Elaine Oddera is 209022361 in Illinois. Her current practice location is 98 Peach Ridge Rd, Anna. Patients can reach her at 618-614-1400 or can fax her at 618-614-1401. Stacey Elaine Oddera is APRN and her NPI number (Unique professional ID assigned by NPPES) is 1558964080.
Stacey Elaine Oddera has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Stacey Elaine Oddera speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Stacey Elaine Oddera
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: APRN
Experience: 4+ years
Medical School Attended:Other
Graduation Year:2020
Accepts Medicare Assignment:Yes
Practice Address:98 Peach Ridge Rd, Anna,
Illinois, 62906-2243
Phone:618-614-1400
Fax:618-614-1401
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 4082006804
Enrollment ID: I20220127001898
NPI Number: 1558964080
NPI Enumeration Date: 18 Nov, 2020
NPI Last Update On: 19 Oct, 2023

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacey Elaine Oddera are as mentioned below.
License NumberSpecializationStateStatus
209022361 IllinoisPrimary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Stacey Elaine Oddera is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Southern Illinois Medical Services Nfp (3678677390)352
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Stacey Elaine Oddera
Po Box 3988,
Carbondale, Illinois
Zip: 62902-3988
Phone Number: 618-457-5200
Patients can reach Stacey Elaine Oddera at 98 Peach Ridge Rd, Anna, Illinois or can call to book an appointment on 618-614-1400.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.