Fordyce Edward Stivers, MD is a
Otolaryngology physician based in Canton, Illinois. Fordyce Edward Stivers is licensed to practice in Missouri (license number 2005013768) and his current practice location is 175 S Main St, Canton, Illinois. He can be reached at his office (for appointments etc.) via phone at
(309) 647-0201.
NPI number for Fordyce Edward Stivers is 1992771216 and his current mailing address is 175 S Main St, Canton, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992771216.
Physician's Profile
| Full Name | Fordyce Edward Stivers |
|---|
| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 175 S Main St, Canton, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992771216
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 03/27/2008
Medical Identifiers
Medical identifiers for Fordyce Edward Stivers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992771216 | NPI | - | NPPES |
| 1780692087 | Other | IL | CLINIC NPI# |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 2005013768 (Missouri) | Primary |
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. Fordyce Edward Stivers is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Fordyce Edward Stivers, MD
175 S Main St,
Canton, IL 61520-2670
Ph: (309) 647-0201 | Fordyce Edward Stivers, MD
175 S Main St,
Canton, IL 61520-2670
Ph: (309) 647-0201 |
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