Mr David E Stidham, FPMHNP in Adel, GA - Medicare Nurse Practitioner

Mr David E Stidham, FPMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Adel, Georgia. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Behavioral Health Services Of South Georgia and his current practice location is 1905 S Hutchinson Ave, Adel, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 896-4559.

Mr David E Stidham is licensed to practice in Georgia (license number RN139536) 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 1700378049.

Contact Information

	Mr David E Stidham, FPMHNP
	1905 S Hutchinson Ave, Adel, GA 31620-5246
	(229) 896-4559
	(229) 896-8367

Map and Direction

Provider's Profile

Full Name	Mr David E Stidham
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	1905 S Hutchinson Ave, Adel, Georgia
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:

Mr David E Stidham graduated from nursing school in 2017

NPI Data:

NPI Number: 1700378049
Provider Enumeration Date: 06/01/2018
Last Update Date: 09/27/2021

Medicare PECOS Information:

PECOS PAC ID: 0749539674
Enrollment ID: I20180824002914

Medical Identifiers

Medical identifiers for Mr David E Stidham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700378049	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN139536 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN139536 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Behavioral Health Services Of South Georgia	0840181426	15

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. Mr David E Stidham allows following entities to bill medicare on his behalf.

Entity Name	Behavioral Health Services Of South Georgia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801932371 PECOS PAC ID: 0840181426 Enrollment ID: O20040323000824

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. Mr David E 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
Mr David E Stidham, FPMHNP 3120 N Oak Street Ext Ste C, Valdosta, GA 31602-5910 Ph: (229) 896-4559	Mr David E Stidham, FPMHNP 1905 S Hutchinson Ave, Adel, GA 31620-5246 Ph: (229) 896-4559

Reviews and Comments

Nurse Practitioner Nurses in Adel, GA

Alexander Warren, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 S Hutchinson Ave, Adel, GA 31620 Phone: 229-896-2124
Mrs. Priscilla R Greene, FHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 172 Mj Taylor Rd, Adel, GA 31620 Phone: 229-896-5200 Fax: 229-388-9855
Walter Stone, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 172 Mj Taylor Rd, Adel, GA 31620 Phone: 229-896-8500
Tammy Charlene Carter, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 602 N Hutchinson Ave, Adel, GA 31620 Phone: 229-848-5073
Melissa Michelle Roberts, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 172 Mj Taylor Rd, Adel, GA 31620 Phone: 229-896-3424
David K. Vickers, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 James St, Adel, GA 31620 Phone: 229-896-3424 Fax: 229-896-3838
Caroline Hendley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 172 Mj Taylor Rd, Adel, GA 31620 Phone: 229-896-8500

Mr David E Stidham, FPMHNP - Medicare Nurse Practitioner in Adel, GA