Dorothy Ellen Stidham, CRNP in Hamilton, AL - Medicare Nurse Practitioner

Dorothy Ellen Stidham, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Hamilton, Alabama. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Agape Medical Clinic Pc and her current practice location is 1911 Military St S, Hamilton, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 952-9603.

Dorothy Ellen Stidham is licensed to practice in Alabama (license number 1061751) 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 1578664652.

Contact Information

	Dorothy Ellen Stidham, CRNP
	1911 Military St S, Hamilton, AL 35570-6611
	(205) 952-9603
	(205) 952-9661

Map and Direction

Provider's Profile

Full Name	Dorothy Ellen Stidham
Gender	Female
Speciality	Nurse Practitioner
Experience	26 Years
Location	1911 Military St S, Hamilton, Alabama
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:

Dorothy Ellen Stidham graduated from nursing school in 1998

NPI Data:

NPI Number: 1578664652
Provider Enumeration Date: 09/25/2006
Last Update Date: 07/05/2022

Medicare PECOS Information:

PECOS PAC ID: 8123195161
Enrollment ID: I20111107000274

Medical Identifiers

Medical identifiers for Dorothy Ellen Stidham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578664652	NPI	-	NPPES
051552982	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1061751 (Alabama)	Primary

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. Dorothy Ellen Stidham allows following entities to bill medicare on her behalf.

Entity Name	Agape Medical Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174643852 PECOS PAC ID: 9436051364 Enrollment ID: O20051027000634

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. Dorothy Ellen 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
Dorothy Ellen Stidham, CRNP Po Box 2282, 206 Bexar Ave. E Suite 2, Hamilton, AL 35570-2282 Ph: (205) 952-9603	Dorothy Ellen Stidham, CRNP 1911 Military St S, Hamilton, AL 35570-6611 Ph: (205) 952-9603

Reviews and Comments

Nurse Practitioner Nurses in Hamilton, AL

Ashley N Ozbirn, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Bexar Ave W, Hamilton, AL 35570 Phone: 205-921-2838 Fax: 205-430-2672
Ginger Carol Lowman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2131 Military St S, Hamilton, AL 35570 Phone: 205-921-5556
Mrs. Martha Gail Southern, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2448 Military St South, Hamilton, AL 35570 Phone: 205-921-3118 Fax: 205-921-7954
Faye Mechelle Alexander, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1256 Military St S, Hamilton, AL 35570 Phone: 205-921-6496
Dr. Stephanie F Oliver, DNP, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Bexar Ave W, Hamilton, AL 35570 Phone: 205-921-2838
Maddie Shea Noe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Bexar Ave W, Hamilton, AL 35570 Phone: 205-921-2838 Fax: 205-430-2672
Holly Cooper, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1195 Military St S, Hamilton, AL 35570 Phone: 205-921-2273 Fax: 205-921-2274

Dorothy Ellen Stidham, CRNP - Medicare Nurse Practitioner in Hamilton, AL