Sidney Bondurant, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Grenada, Mississippi. His current practice location is
1900 Grandview Dr, Grenada, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 226-5121.
Sidney Bondurant is licensed to practice in Mississippi (license number MS06799) 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 1952329542.
Physician's Profile
Full Name | Sidney Bondurant |
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Gender | Male |
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Speciality | Obstetrics & Gynecology |
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Location | 1900 Grandview Dr, Grenada, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952329542
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3274560867
- Enrollment ID: I20160509000142
Medical Identifiers
Medical identifiers for Sidney Bondurant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952329542 | NPI | - | NPPES |
00115440 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | MS06799 (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. Sidney Bondurant 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 |
Sidney Bondurant, MD 1900 Grandview Dr, Grenada, MS 38901-5066 Ph: (662) 226-5121 | Sidney Bondurant, MD 1900 Grandview Dr, Grenada, MS 38901-5066 Ph: (662) 226-5121 |
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