Mrs Brooke Marie Stidham, PAC in Austin, TX - Medicare Physician Assistant

Mrs Brooke Marie Stidham, PAC is a medicare enrolled "Physician Assistant" in Austin, Texas. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Ladera Park Dermatology Pa and her current practice location is 11623 Angus Rd, Suite 25, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 345-9411.

Mrs Brooke Marie Stidham is licensed to practice in Texas (license number PA08059) 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 1134450497.

Contact Information

	Mrs Brooke Marie Stidham, PAC
	11623 Angus Rd, Suite 25, Austin, TX 78759-4003
	(512) 345-9411
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Brooke Marie Stidham
Gender	Female
Speciality	Physician Assistant
Experience	17 Years
Location	11623 Angus Rd, Austin, Texas
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 Brooke Marie Stidham graduated from nursing school in 2007

NPI Data:

NPI Number: 1134450497
Provider Enumeration Date: 01/26/2010
Last Update Date: 03/20/2017

Medicare PECOS Information:

PECOS PAC ID: 4284762055
Enrollment ID: I20140205000570

Medical Identifiers

Medical identifiers for Mrs Brooke Marie Stidham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134450497	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA08059 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ladera Park Dermatology Pa	5597030189	3

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 Brooke Marie 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
Mrs Brooke Marie Stidham, PAC 11671 Jollyville Rd, Ste 104, Austin, TX 78759-4141 Ph: (512) 345-3599	Mrs Brooke Marie Stidham, PAC 11623 Angus Rd, Suite 25, Austin, TX 78759-4003 Ph: (512) 345-9411

Reviews and Comments

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Mrs Brooke Marie Stidham, PAC - Medicare Physician Assistant in Austin, TX