Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Madeline Odom

Individual provider Physician Assistant · NPI 1992583793

Madeline Odom is a Physician Assistant in Ferndale, Michigan. Qualified in 2023, 3 years ago. Practices with Pure Psychiatry of Michigan PLLC, a 100-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
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Practice location Address checks out

2104 Pinecrest Dr
Ferndale, MI 48220-1225
Phone: (248) 977-2898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012046 (MI)

Record details

NPI number1992583793
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 21, 2023
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023
Mailing address2104 Pinecrest Dr, Ferndale, MI 48220-1225

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pure Psychiatry Of Michigan Pllc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ferndale