Dr Ted Justin Stidham, MD in Portsmouth, OH

Dr Ted Justin Stidham, MD is a medicare enrolled "Pediatrics" physician in Portsmouth, Ohio. His current practice location is 1611 27th St Ste 101, Portsmouth, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 356-7337.

Dr Ted Justin Stidham is licensed to practice in Ohio (license number 35.120739) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134428402.

Contact Information

	Dr Ted Justin Stidham, MD
	1611 27th St Ste 101, Portsmouth, OH 45662-6932
	(740) 356-7337
	(740) 356-6304

Map and Direction

Physician's Profile

Full Name	Dr Ted Justin Stidham
Gender	Male
Speciality	Pediatrics
Location	1611 27th St Ste 101, Portsmouth, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134428402
Provider Enumeration Date: 03/25/2011
Last Update Date: 12/16/2020

Medicare PECOS Information:

PECOS PAC ID: 0648497289
Enrollment ID: I20140805003130

Medical Identifiers

Medical identifiers for Dr Ted Justin Stidham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134428402	NPI	-	NPPES
0106413	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35.120739 (Ohio)	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. Dr Ted Justin Stidham allows following entities to bill medicare on his behalf.

Entity Name	Somc Medical Care Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203

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. Dr Ted Justin 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
Dr Ted Justin Stidham, MD 1735 27th St Ste B06, Portsmouth, OH 45662-2681 Ph: (740) 356-8681	Dr Ted Justin Stidham, MD 1611 27th St Ste 101, Portsmouth, OH 45662-6932 Ph: (740) 356-7337

Reviews and Comments

Pediatrics Doctors in Portsmouth, OH

Mr. Rick David Murphy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1405 11th St, Portsmouth, OH 45662 Phone: 740-354-7718 Fax: 740-353-6888
John Francis Ditraglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 717 5th St, Portsmouth, OH 45662 Phone: 740-354-6605 Fax: 740-354-1565
Mikell N Rase, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1611 27th St Ste 101, Portsmouth, OH 45662 Phone: 740-356-7337 Fax: 740-356-6304
John R Radford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1611 27th St Ste 101, Portsmouth, OH 45662 Phone: 740-356-7337 Fax: 740-356-6304
Alisha M. Iokia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1611 27th St Ste 101, Portsmouth, OH 45662 Phone: 740-356-7337 Fax: 740-356-6304
Dr. Rebecca Joan Schoettle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1735 27th St, Suite 201, Portsmouth, OH 45662 Phone: 740-353-6500 Fax: 740-354-5389

Dr Ted Justin Stidham, MD - Medicare Pediatrics in Portsmouth, OH