Dr Angelia Sidarta, DO in Brea, CA - Medicare Family Practice

Dr Angelia Sidarta, DO is a medicare enrolled "Family Medicine" physician in Brea, California. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Providence Medical Foundation and her current practice location is 500 W Central Ave, Suite B, Brea, California. You can reach out to her office (for appointments etc.) via phone at (714) 671-0766.

Dr Angelia Sidarta is licensed to practice in California (license number 20A7501) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790731776.

Contact Information

	Dr Angelia Sidarta, DO
	500 W Central Ave, Suite B, Brea, CA 92821-3027
	(714) 671-0766
	(714) 257-6132

Map and Direction

Physician's Profile

Full Name	Dr Angelia Sidarta
Gender	Female
Speciality	Family Practice
Experience	26 Years
Location	500 W Central Ave, Brea, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Angelia Sidarta graduated from medical school in 1998

NPI Data:

NPI Number: 1790731776
Provider Enumeration Date: 05/25/2006
Last Update Date: 11/10/2021

Medicare PECOS Information:

PECOS PAC ID: 7719953611
Enrollment ID: I20040902000388

Medical Identifiers

Medical identifiers for Dr Angelia Sidarta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790731776	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	20A7501 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Jude Medical Center	Fullerton, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1312

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. Dr Angelia Sidarta allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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 Angelia Sidarta 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 Angelia Sidarta, DO 500 W Central Ave Ste B, Brea, CA 92821-3036 Ph: () -	Dr Angelia Sidarta, DO 500 W Central Ave, Suite B, Brea, CA 92821-3027 Ph: (714) 671-0766

Reviews and Comments

Family Medicine Doctors in Brea, CA

Dr. Stephen W. Thacker, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 340 W Central Ave Ste 110, Attention: Maggie Noles, Brea, CA 92821 Phone: 714-529-3971 Fax: 714-529-1070
Dr. David Szu-hong Liu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 E Lambert Rd, Brea, CA 92821 Phone: 714-672-5240
Dennis Wayne Shults, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 710 N. Brea Blvd, Ste G, Brea, CA 92821 Phone: 714-671-1150
James Sangho Yoon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 955 W Imperial Hwy Ste 200, Brea, CA 92821 Phone: 714-449-6900 Fax: 714-449-6971
Mrs. Dawn Michelle Vollmann, PA Family Medicine Medicare: Medicare Enrolled Practice Location: 539 S Brea Blvd Ste 100, Brea, CA 92821 Phone: 714-671-2936
Royce Lewis Hutain, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 955 W Imperial Hwy Ste 110, Brea, CA 92821 Phone: 714-449-6900
Mark Giglio, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 955 W Imperial Hwy Ste 110, Brea, CA 92821 Phone: 714-449-6900

Dr Angelia Sidarta, DO - Medicare Family Practice in Brea, CA