Mrs Grace Gore Sturdivant, AUD in Jackson, MS - Medicare Audiologist Provider

Mrs Grace Gore Sturdivant, AUD is a medicare enrolled "Audiologist" provider in Jackson, Mississippi. Her current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 815-6000.

Mrs Grace Gore Sturdivant is licensed to practice in Mississippi (license number A3608) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558636282.

Contact Information

	Mrs Grace Gore Sturdivant, AUD
	2500 N State St, Jackson, MS 39216-4500
	(601) 815-6000
	(601) 984-5085

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Grace Gore Sturdivant
Gender	Female
Speciality	Audiologist
Location	2500 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558636282
Provider Enumeration Date: 03/13/2012
Last Update Date: 03/17/2014

Medicare PECOS Information:

PECOS PAC ID: 5294998936
Enrollment ID: I20120516000750

Medical Identifiers

Medical identifiers for Mrs Grace Gore Sturdivant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558636282	NPI	-	NPPES
07203769	Medicaid	MS
P01266932	Other	MS	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	A3608 (Mississippi)	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. Mrs Grace Gore Sturdivant allows following entities to bill medicare on her behalf.

Provider Name	State Of Mississippi - University Of Mississippi Medical Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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. Mrs Grace Gore Sturdivant 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
Mrs Grace Gore Sturdivant, AUD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-6000	Mrs Grace Gore Sturdivant, AUD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-6000

Reviews and Comments

Audiologist in Jackson, MS

Barrie E Aden, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 501 Marshall St, Suite 602, Jackson, MS 39202 Phone: 601-969-1910 Fax: 601-969-1913
Ms. Jacqueline M. Robinson, MS, CCC-A; F/AAA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr, Suite 854, Jackson, MS 39216 Phone: 601-981-2825 Fax: 601-981-2827
Ms School For The Deaf And Blind Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1253 Eastover Dr, Jackson, MS 39211 Phone: 601-984-8036 Fax: 601-984-8030
Dr. William Mustain, PH. D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Dept Of Oto & Comm Sciences, Jackson, MS 39216 Phone: 601-984-5160
Ian M Windmill, PHD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Department Of Otolaryngology, Jackson, MS 39216 Phone: 601-984-5160 Fax: 601-815-6985
Sally Guyton, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 501 Marshall St, Suite 501, Jackson, MS 39202 Phone: 601-709-7700 Fax: 601-709-7701
Sue M Windmill, AU D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Department Of Otolaryngology, Jackson, MS 39216 Phone: 601-984-5160 Fax: 601-815-6985

Mrs Grace Gore Sturdivant, AUD - Medicare Audiologist in Jackson, MS