Sidney Bondurant, MD in Grenada, MS - Medicare Obstetrics & Gynecology

Sidney Bondurant, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Grenada, Mississippi. His current practice location is 1900 Grandview Dr, Grenada, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 226-5121.

Sidney Bondurant is licensed to practice in Mississippi (license number MS06799) 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 1952329542.

Contact Information

	Sidney Bondurant, MD
	1900 Grandview Dr, Grenada, MS 38901-5066
	(662) 226-5121
	(662) 226-7529

Physician's Profile

Full Name	Sidney Bondurant
Gender	Male
Speciality	Obstetrics & Gynecology
Location	1900 Grandview Dr, Grenada, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952329542
Provider Enumeration Date: 07/18/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3274560867
Enrollment ID: I20160509000142

Medical Identifiers

Medical identifiers for Sidney Bondurant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952329542	NPI	-	NPPES
00115440	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MS06799 (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. Sidney Bondurant 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
Sidney Bondurant, MD 1900 Grandview Dr, Grenada, MS 38901-5066 Ph: (662) 226-5121	Sidney Bondurant, MD 1900 Grandview Dr, Grenada, MS 38901-5066 Ph: (662) 226-5121

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Obstetrics & Gynecology Doctors in Grenada, MS

Thomas Holden, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Grandview Dr, Grenada, MS 38901
Phone: 662-226-5121 Fax: 662-226-7529

Sidney Bondurant, MD - Medicare Obstetrics & Gynecology in Grenada, MS