Mrs Stacie A Sidebotham, FNP in Fayetteville, NC

Mrs Stacie A Sidebotham, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fayetteville, North Carolina. Her current practice location is 405 Owen Dr, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 323-3183.

Mrs Stacie A Sidebotham is licensed to practice in North Carolina (license number 5004935) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710287263.

Contact Information

	Mrs Stacie A Sidebotham, FNP
	405 Owen Dr, Fayetteville, NC 28304-3411
	(910) 323-3183
	(910) 323-5488

Map and Direction

Provider's Profile

Full Name	Mrs Stacie A Sidebotham
Gender	Female
Speciality	Nurse Practitioner - Family
Location	405 Owen Dr, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710287263
Provider Enumeration Date: 11/01/2010
Last Update Date: 04/07/2016

Medicare PECOS Information:

PECOS PAC ID: 7315121423
Enrollment ID: I20110414000616

Medical Identifiers

Medical identifiers for Mrs Stacie A Sidebotham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710287263	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5004935 (North Carolina)	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. Mrs Stacie A Sidebotham allows following entities to bill medicare on her behalf.

Entity Name	Medical Arts Family Practice Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831168103 PECOS PAC ID: 3072580182 Enrollment ID: O20040916000509

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 Stacie A Sidebotham 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 Stacie A Sidebotham, FNP 413 Owen Dr, Ste 201, Fayetteville, NC 28304-3490 Ph: (910) 323-9111	Mrs Stacie A Sidebotham, FNP 405 Owen Dr, Fayetteville, NC 28304-3411 Ph: (910) 323-3183

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, NC

Mrs. Sekeya Edreekia Durgan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7300 S Raeford Rd, Fayetteville, NC 28304 Phone: 910-475-6244
Heather Mcphail Maynor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5680
Wendy Lynn Brock, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5490
Dr. Adrian Nicole Lennon, PSYCHIATRIC NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6977 Nexus Ct Ste 102, Fayetteville, NC 28304 Phone: 910-672-6432 Fax: 910-745-7907
Shelley Barry Follett, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2125 Valleygate Dr, Suite 201, Fayetteville, NC 28304 Phone: 910-323-1322
Cheryl Norris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-4000
Demetria Ward-richardson, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100

Mrs Stacie A Sidebotham, FNP - Medicare Nurse Practitioner in Fayetteville, NC