Dr Haleigh Stidham Blackwell, DMD in Vestavia, AL - Medicare Dentist Provider

Dr Haleigh Stidham Blackwell, DMD is a medicare enrolled "Dentist" provider in Vestavia, Alabama. Her current practice location is 3145 Green Valley Rd, Vestavia, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 835-9800.

Dr Haleigh Stidham Blackwell is licensed to practice in Alabama (license number 5852) 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 1417235870.

Contact Information

	Dr Haleigh Stidham Blackwell, DMD
	3145 Green Valley Rd, Vestavia, AL 35243-5256
	(205) 835-9800
	Not Available

Healthcare Provider's Profile

Full Name	Dr Haleigh Stidham Blackwell
Gender	Female
Speciality	Dentist
Location	3145 Green Valley Rd, Vestavia, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417235870
Provider Enumeration Date: 08/02/2011
Last Update Date: 08/02/2011

Medicare PECOS Information:

PECOS PAC ID: 5597062869
Enrollment ID: I20160331001579

Medical Identifiers

Medical identifiers for Dr Haleigh Stidham Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417235870	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	5852 (Alabama)	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. Dr Haleigh Stidham Blackwell 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
Dr Haleigh Stidham Blackwell, DMD 3145 Green Valley Rd, Vestavia, AL 35243-5256 Ph: (205) 835-9800	Dr Haleigh Stidham Blackwell, DMD 3145 Green Valley Rd, Vestavia, AL 35243-5256 Ph: (205) 835-9800

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Dentist in Vestavia, AL

Dr. Samantha Simmons Mccool, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1771 Independence Ct Ste 1, Vestavia, AL 35216 Phone: 205-870-9871
Dr. Flynt Gilbert Purvis, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2401 Dolly Ridge Rd, Vestavia, AL 35243 Phone: 205-983-8980 Fax: 205-983-8982
Dr. Brittany M Henry, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3145 Green Valley Rd Ste 101, Vestavia, AL 35243 Phone: 205-970-7292
Dr. Tessa Streeter, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1705 Vestavia Pkwy, Vestavia, AL 35216 Phone: 205-979-7072
Dr. Shadi Alkhoury, DDS. MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2011 Vestavia Park Ln Apt A, Vestavia, AL 35216 Phone: 630-457-0516
Dr. Tracey Vinton Thomson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1913 Laurel Road, Vestavia, AL 35216 Phone: 205-823-1654 Fax: 205-979-6122

Dr Haleigh Stidham Blackwell, DMD - Medicare Dentist in Vestavia, AL