REYNARD C ODENHEIMER MD A PROFESSIONAL MEDICAL CORPORATION
NPI 1215326756
Psychiatry & Neurology - Neurology in Lake Charles, LA

Active since January 22, 2015
816 W BAYOU PINES DR, LAKE CHARLES, LA 70601(337) 439-5588(337) 439-0808 Get Directions Write a Review

NPPES record last updated: January 22, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Reynard C Odenheimer Md A Professional Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REYNARD C ODENHEIMER MD A PROFESSIONAL MEDICAL CORPORATION (NPI 1215326756) is a healthcare organization registered as a neurology in Lake Charles, Louisiana and active in the NPI registry since January 2015. The organization lists Pat Gail Kersch, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1215326756
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameREYNARD C ODENHEIMER MD A PROFESSIONAL MEDICAL CORPORATION
Location Address816 W BAYOU PINES DRLake Charles, LA 70601-7077
Mailing Address816 W Bayou Pines DrLake Charles, LA 70601-7077 · (337) 439-5588 · Fax (337) 439-0808
Fax(337) 439-0808
Organization SubpartNo
Authorized OfficialPat Gail KerschOffice Manager · (337) 439-5588
Enumeration DateJanuary 22, 2015
✔ NPI 1215326756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in LA · 020159
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
816 W BAYOU PINES DR, Lake Charles, LA 70601

Other Identifiers 1

Medicaid1684821LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reynard C Odenheimer Md A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Reynard C Odenheimer MD A Professional Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurology
NPI 1528158292
646 W MCNEESE ST
Lake Charles, LA 70605
(337) 439-5888
✔ PECOS2.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reynard C Odenheimer MD A Professional Medical Corporation's NPI number?

The NPI number for Reynard C Odenheimer MD A Professional Medical Corporation is 1215326756. It was assigned to this organization in the NPPES registry on January 22, 2015.

Where is Reynard C Odenheimer MD A Professional Medical Corporation located?

Reynard C Odenheimer MD A Professional Medical Corporation is located at 816 W Bayou Pines Dr, Lake Charles, LA 70601. The listed phone number is (337) 439-5588.

What is Reynard C Odenheimer MD A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Reynard C Odenheimer MD A Professional Medical Corporation enrolled in Medicare?

Yes. Reynard C Odenheimer MD A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Reynard C Odenheimer MD A Professional Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Reynard C Odenheimer MD A Professional Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Reynard C Odenheimer MD A Professional Medical Corporation was last updated on January 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.