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DR. WILLIAM E SISTRUNK MD
NPI 1659075620
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since March 27, 2023PECOS Enrolled
124 ASHCOT CIR, JACKSON, MS 39211(417) 839-6937 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. William E Sistrunk Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM E SISTRUNK MD (NPI 1659075620) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659075620
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. WILLIAM E SISTRUNKCredential: MD
Location Address124 ASHCOT CIRJackson, MS 39211-6101
Mailing Address124 Ashcot CirJackson, MS 39211-6101 · (417) 839-6937
Phone(417) 839-6937
Sole ProprietorNo
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
✔ NPI 1659075620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
124 ASHCOT CIR, Jackson, MS 39211
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William E Sistrunk Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Sistrunk's NPI number?

The NPI number for William Sistrunk is 1659075620. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is William Sistrunk located?

William Sistrunk practices at 124 Ashcot Cir, Jackson, MS 39211. The listed phone number is (417) 839-6937.

What is William Sistrunk's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is William Sistrunk enrolled in Medicare?

Yes. William Sistrunk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Sistrunk was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.