Alex Lee Stidham, PA-C is a
Physician Assistant based in Speedwell, Tennessee. Alex Lee Stidham is licensed to practice in * (Not Available) (license number ) and his current practice location is
619 Blue Springs Rd, Speedwell, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 489-6257.
NPI number for Alex Lee Stidham is 1023998655 and his current mailing address is 619 Blue Springs Rd, Speedwell, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023998655.
Provider's Profile
| Full Name | Alex Lee Stidham |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 619 Blue Springs Rd, Speedwell, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1023998655
- Provider Enumeration Date: 09/04/2025
- Last Update Date: 09/04/2025
Medical Identifiers
Medical identifiers for Alex Lee Stidham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023998655 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Alex Lee Stidham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alex Lee Stidham, PA-C
619 Blue Springs Rd,
Speedwell, TN 37870-1847
Ph: (423) 489-6257 | Alex Lee Stidham, PA-C
619 Blue Springs Rd,
Speedwell, TN 37870-1847
Ph: (423) 489-6257 |
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