Leann Marie Stidham, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Seymour, Indiana. She went to Indiana University School Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Radiology Associates Of Muncie Inc and her current practice location is
411 W Tipton St, Seymour, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 522-2349.
Leann Marie Stidham is licensed to practice in Indiana (license number 01066073) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750543591.
Physician's Profile
| Full Name | Leann Marie Stidham |
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| Gender | Female |
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| Speciality | Diagnostic Radiology |
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| Experience | 20 Years |
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| Location | 411 W Tipton St, Seymour, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Leann Marie Stidham attended and graduated from Indiana University School Of Medicine in 2005
NPI Data:
- NPI Number: 1750543591
- Provider Enumeration Date: 07/01/2008
- Last Update Date: 03/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 6002940434
- Enrollment ID: I20100819001115
Medical Identifiers
Medical identifiers for Leann Marie Stidham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750543591 | NPI | - | NPPES |
| 200989190 | Medicaid | IN | |
| 000000712370 | Other | IN | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | 01066073 (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Radiology Associates Of Muncie Inc | 3577476100 | 48 |
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. Leann Marie Stidham allows following entities to bill medicare on her behalf.
| Entity Name | Radiology Associates Of Muncie Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306883251 PECOS PAC ID: 3577476100 Enrollment ID: O20040528000857 |
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| Entity Name | East Central Radiology |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184663544 PECOS PAC ID: 4486633252 Enrollment ID: O20040715000693 |
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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. Leann Marie 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 |
Leann Marie Stidham, MD Po Box 1526, Lima, OH 45802-1526 Ph: (866) 479-2711 | Leann Marie Stidham, MD 411 W Tipton St, Seymour, IN 47274-2363 Ph: (812) 522-2349 |
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