Sophronia Stidwell, DC is a medicare enrolled "Chiropractor" provider in Hazlehurst, Mississippi. Her current practice location is
214 Caldwell Dr, Hazlehurst, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 884-0557.
Sophronia Stidwell is licensed to practice in Mississippi (license number 1212) 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 1255773529.
Healthcare Provider's Profile
| Full Name | Sophronia Stidwell |
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| Gender | Female |
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| Speciality | Chiropractor |
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| Location | 214 Caldwell Dr, Hazlehurst, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1255773529
- Provider Enumeration Date: 07/26/2013
- Last Update Date: 12/06/2017
Medicare PECOS Information:
- PECOS PAC ID: 4082972633
- Enrollment ID: I20180103001632
Medical Identifiers
Medical identifiers for Sophronia Stidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255773529 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 1212 (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. Sophronia Stidwell allows following entities to bill medicare on her behalf.
| Provider Name | Family Wellness & Chiropractic |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1528578523
PECOS PAC ID: 4486912037
Enrollment ID: O20180103001335 |
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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. Sophronia Stidwell 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 |
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Sophronia Stidwell, DC
1001 Sandifer St,
Hazlehurst, MS 39083-8960
Ph: () - | Sophronia Stidwell, DC
214 Caldwell Dr,
Hazlehurst, MS 39083-2712
Ph: (601) 884-0557 |
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