Dr Jonathan Stidham, MD in Gadsden, AL - Medicare Diagnostic Radiology

Dr Jonathan Stidham, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Gadsden, Alabama. He graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Northeast Imaging Pc, Birmingham Radiological Group Pc and his current practice location is 1007 Goodyear Ave, Gadsden, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 284-5211.

Dr Jonathan Stidham is licensed to practice in Alabama (license number MD.36365) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215372073.

Contact Information

	Dr Jonathan Stidham, MD
	1007 Goodyear Ave, Gadsden, AL 35903-1195
	(334) 284-5211
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jonathan Stidham
Gender	Male
Speciality	Diagnostic Radiology
Experience	12 Years
Location	1007 Goodyear Ave, Gadsden, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jonathan Stidham graduated from medical school in 2013

NPI Data:

NPI Number: 1215372073
Provider Enumeration Date: 05/07/2013
Last Update Date: 07/12/2019

Medicare PECOS Information:

PECOS PAC ID: 9931499662
Enrollment ID: I20190909000424

Medical Identifiers

Medical identifiers for Dr Jonathan Stidham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215372073	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD.36365 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cullman Regional Medical Center	Cullman, AL	Hospital
Gadsden Regional Medical Center	Gadsden, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Imaging Pc	0446205199	3
Birmingham Radiological Group Pc	8022922756	41

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jonathan Stidham allows following entities to bill medicare on his behalf.

Entity Name	Birmingham Radiological Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376594192 PECOS PAC ID: 8022922756 Enrollment ID: O20031118000002

Entity Name	Northeast Imaging Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891733002 PECOS PAC ID: 0446205199 Enrollment ID: O20050316000368

Entity Name	Health Imaging Services Llc
Entity Type	Part B Supplier - Independent Diagnostic Testing Facility (idtf)
Entity Identifiers	NPI Number: 1518074012 PECOS PAC ID: 2264457787 Enrollment ID: O20051013000109

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathan Stidham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jonathan Stidham, MD 2055 E South Blvd Ste 200, Montgomery, AL 36116-2002 Ph: (334) 284-5211	Dr Jonathan Stidham, MD 1007 Goodyear Ave, Gadsden, AL 35903-1195 Ph: (334) 284-5211

Reviews and Comments

Radiology Doctors in Gadsden, AL

Dr. Marshall P. Mallory, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 20 Indian Pine Trce W, Gadsden, AL 35901 Phone: 888-318-8900 Fax: 408-370-9131
Ruth Darr Snow, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 820 S 4th St, Gadsden, AL 35901 Phone: 256-549-0008 Fax: 256-549-0401
David N Simmons, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1007 Goodyear Ave, Gadsden, AL 35903 Phone: 256-494-4000
Dr. Kennon H Hager, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 820 S 4th St, Gadsden, AL 35901 Phone: 251-460-0326 Fax: 251-460-2846
Homer Andrew Spencer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1007 Goodyear Ave, Gadsden, AL 35903 Phone: 256-494-4000
Rebecca Southern, Radiology Medicare: Not Enrolled in Medicare Practice Location: 600 Valley St, Gadsden, AL 35901 Phone: 256-439-6885

Dr Jonathan Stidham, MD - Medicare Diagnostic Radiology in Gadsden, AL