JACQUELINE S TAYLOR ODONALD M.D.
NPI 1275514929
Internal Medicine in Texarkana, TX

Q: What is Jacqueline Taylor Odonald's NPI number?

The NPI number for Jacqueline Taylor Odonald is 1275514929. It was assigned to this individual provider in the NPPES registry on November 9, 2005. The provider is also known as Jacqueline S Taylor Odonald M.D..

Q: What is Jacqueline Taylor Odonald's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since November 09, 2005PECOS Enrolled

5002 COWHORN CREEK RD, TEXARKANA, TX 75503(903) 614-3000(903) 614-3525 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacqueline S Taylor Odonald M.d. NPPES

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

JACQUELINE S TAYLOR ODONALD M.D. (NPI 1275514929) is an individual internal medicine provider in Texarkana, Texas, licensed in Texas (L3496) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275514929

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameJACQUELINE S TAYLOR ODONALDCredential: M.D.

Location Address5002 COWHORN CREEK RDTexarkana, TX 75503-9766

Mailing Address5002 Cowhorn Creek RdTexarkana, TX 75503-9766 · (903) 614-3000 · Fax (903) 614-3525

Phone(903) 614-3000

Fax(903) 614-3525

Sole ProprietorNo

Enumeration DateNovember 9, 2005

Last NPPES UpdateNovember 1, 2011

✔ NPI 1275514929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in TX · L3496✔ Licensed in AR · E2888

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5002 COWHORN CREEK RD, Texarkana, TX 75503

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Other Names 1

Former Name (1)Jacqueline S Taylor Odonald M.d.

Other Identifiers 6

Medicaid145871301TX

OtherDD3261TX · Rr Medicare

Other5M000AR · Bcbs

Medicare PIN8C7165TX

Other0092MNTX · Bcbs

Medicaid145436001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline S Taylor Odonald M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers12 claims53 services$7.21 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers12 claims27 services$1.23 avg. paid by Medicare

Stationary oxygen contents, liquid, 1 month's supply = 1 unit E0442

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$45.16 avg. paid by Medicare

Portable oxygen contents, liquid, 1 month's supply = 1 unit E0444

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$42.24 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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