Shane Edward Stidham, MD in Norman, OK - Medicare Anesthesiology

Shane Edward Stidham, MD is a medicare enrolled "Anesthesiology" physician in Norman, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Norman Interventional Pain Management Pllc and his current practice location is 3650 W Rock Creek Rd, Suite 100, Norman, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 701-3418.

Shane Edward Stidham is licensed to practice in Oklahoma (license number 22913) 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 1083644736.

Contact Information

	Shane Edward Stidham, MD
	3650 W Rock Creek Rd, Suite 100, Norman, OK 73072-2202
	(405) 701-3418
	(405) 701-3451

Map and Direction

Physician's Profile

Full Name	Shane Edward Stidham
Gender	Male
Speciality	Anesthesiology
Experience	22 Years
Location	3650 W Rock Creek Rd, Norman, Oklahoma
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:

Shane Edward Stidham attended and graduated from University Of Oklahoma College Of Medicine in 2002

NPI Data:

NPI Number: 1083644736
Provider Enumeration Date: 07/04/2006
Last Update Date: 04/06/2020

Medicare PECOS Information:

PECOS PAC ID: 0648273409
Enrollment ID: I20060913000141

Medical Identifiers

Medical identifiers for Shane Edward Stidham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083644736	NPI	-	NPPES
200088400A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	22913 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Norman Regional	Norman, OK	Hospital

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. Shane Edward Stidham allows following entities to bill medicare on his behalf.

Entity Name	Shane E Stidham, Md, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912178872 PECOS PAC ID: 4587735279 Enrollment ID: O20080624000638

Entity Name	Norman Interventional Pain Management Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336337393 PECOS PAC ID: 4082752720 Enrollment ID: O20100526000892

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. Shane Edward 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
Shane Edward Stidham, MD 3650 W Rock Creek Rd, Suite 100, Norman, OK 73072-2202 Ph: (405) 701-3418	Shane Edward Stidham, MD 3650 W Rock Creek Rd, Suite 100, Norman, OK 73072-2202 Ph: (405) 701-3418

Reviews and Comments

Anesthesiology Doctors in Norman, OK

Quentin Lobb, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd, Suiet 100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451
Dr. Alina C Justiz, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1215 Crossroads Blvd Ste 100, Norman, OK 73072 Phone: 405-606-8920 Fax: 405-310-6720
John Billy Hill, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd, Suite 100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451
Jason Edward Leonard, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd, Suite 100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451
Braden Riehl Cross, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 805 E Robinson St, Norman, OK 73071 Phone: 405-360-7576 Fax: 405-360-7762
Anderson F Greenhaw, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 901 N Porter Ave, Norman, OK 73071 Phone: 405-307-1000

Shane Edward Stidham, MD - Medicare Anesthesiology in Norman, OK