Dr Stephen D Sudderth, MD in Vicksburg, MS - Medicare Surgery

Dr Stephen D Sudderth, MD is a medicare enrolled "Surgery" physician in Vicksburg, Mississippi. His current practice location is 188 Ymca Pl, Vicksburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 636-7222.

Dr Stephen D Sudderth is licensed to practice in Mississippi (license number 17597) 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 1528096849.

Contact Information

	Dr Stephen D Sudderth, MD
	188 Ymca Pl, Vicksburg, MS 39183-3536
	(601) 636-7222
	(601) 636-0440

Physician's Profile

Full Name	Dr Stephen D Sudderth
Gender	Male
Speciality	Surgery
Location	188 Ymca Pl, Vicksburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528096849
Provider Enumeration Date: 06/28/2006
Last Update Date: 02/21/2014

Medicare PECOS Information:

PECOS PAC ID: 7012064470
Enrollment ID: I20171109002280

Medical Identifiers

Medical identifiers for Dr Stephen D Sudderth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528096849	NPI	-	NPPES
00126115	Medicaid	MS
1986712	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	17597 (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. Dr Stephen D Sudderth 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 Stephen D Sudderth, MD 188 Ymca Pl, Vicksburg, MS 39183-3536 Ph: (601) 636-7222	Dr Stephen D Sudderth, MD 188 Ymca Pl, Vicksburg, MS 39183-3536 Ph: (601) 636-7222

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Surgery Doctors in Vicksburg, MS

Joshua M. Holifield, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 Fax: 601-883-7803
Eugene B Ferris, MD Surgery Medicare: Medicare Enrolled Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000
Henry M Jarmon, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000

Dr Stephen D Sudderth, MD - Medicare Surgery in Vicksburg, MS