Jessi Michaela Stidham, DPT is a medicare enrolled "Physical Therapist" provider in Sallisaw, Oklahoma. Her current practice location is
301 S J T Stites St, Sallisaw, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 774-1400.
Jessi Michaela Stidham is licensed to practice in * (Not Available) (license number ) 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 1326729971.
Healthcare Provider's Profile
| Full Name | Jessi Michaela Stidham |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 301 S J T Stites St, Sallisaw, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326729971
- Provider Enumeration Date: 07/27/2023
- Last Update Date: 07/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 9537513726
- Enrollment ID: I20230921001518
Medical Identifiers
Medical identifiers for Jessi Michaela Stidham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326729971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | 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. Jessi Michaela Stidham allows following entities to bill medicare on her behalf.
| Provider Name | Cherokee Nation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780692723
PECOS PAC ID: 5799698742
Enrollment ID: O20031106000628 |
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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. Jessi Michaela 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 |
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Jessi Michaela Stidham, DPT
301 S J T Stites St,
Sallisaw, OK 74955-9302
Ph: (918) 774-1400 | Jessi Michaela Stidham, DPT
301 S J T Stites St,
Sallisaw, OK 74955-9302
Ph: (918) 774-1400 |
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