Mrs Alicia Lachelle Wallace Stevens, MD in Poplarville, MS

Mrs Alicia Lachelle Wallace Stevens, MD is a medicare enrolled "Internal Medicine" physician in Poplarville, Mississippi. Her current practice location is 1407 S Main St, Poplarville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 795-0659.

Mrs Alicia Lachelle Wallace Stevens is licensed to practice in Mississippi (license number 21723) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699959882.

Contact Information

	Mrs Alicia Lachelle Wallace Stevens, MD
	1407 S Main St, Poplarville, MS 39470-3369
	(601) 795-0659
	(601) 795-8639

Map and Direction

Physician's Profile

Full Name	Mrs Alicia Lachelle Wallace Stevens
Gender	Female
Speciality
Experience	Years
Location	1407 S Main St, Poplarville, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Alicia Lachelle Wallace Stevens attended and graduated from in

NPI Data:

NPI Number: 1699959882
Provider Enumeration Date: 12/24/2007
Last Update Date: 07/20/2020

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mrs Alicia Lachelle Wallace Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699959882	NPI	-	NPPES
03205377	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	PGY.2.TUL-MEDPD (Louisiana)	Secondary
208000000X	Pediatrics	21723 (Mississippi)	Secondary
208000000X	Pediatrics	PGY.2.TUL-MEDPD (Louisiana)	Secondary
207R00000X	Internal Medicine	21723 (Mississippi)	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. Mrs Alicia Lachelle Wallace Stevens 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 Alicia Lachelle Wallace Stevens, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 795-0659	Mrs Alicia Lachelle Wallace Stevens, MD 1407 S Main St, Poplarville, MS 39470-3369 Ph: (601) 795-0659

Mrs Alicia Lachelle Wallace Stevens, MD - Medicare in Poplarville, MS