Nadine Sidhom, is a medicare enrolled "Psychologist" provider in Orange, California. Her current practice location is
101 The City Dr S, Orange, California. You can reach out to her office (for appointments etc.) via phone at
(714) 456-7890.
Nadine Sidhom is licensed to practice in * (Not Available) (license number 33615) 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 1275089583.
Healthcare Provider's Profile
Full Name | Nadine Sidhom |
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Gender | Female |
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Speciality | Psychologist |
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Location | 101 The City Dr S, Orange, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275089583
- Provider Enumeration Date: 08/27/2016
- Last Update Date: 09/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224577531
- Enrollment ID: I20240830001655
Medical Identifiers
Medical identifiers for Nadine Sidhom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275089583 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (California) | Secondary |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103T00000X | Psychologist | (California) | Secondary |
103T00000X | Psychologist | 33615 (* (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. Nadine Sidhom allows following entities to bill medicare on her behalf.
Entity Name | The Department Of Psychiatry |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831159003 PECOS PAC ID: 6901700384 Enrollment ID: O20031126000423 |
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Entity Name | Memory Check Psychological Services, A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912184219 PECOS PAC ID: 7416856422 Enrollment ID: O20040107001021 |
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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. Nadine Sidhom 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 |
Nadine Sidhom, 101 The City Dr S, Orange, CA 92868-3201 Ph: () - | Nadine Sidhom, 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 456-7890 |
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