Dr Jonathan Sidell, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Oka Tamuning, Guam. His current practice location is
850 Governor Carlos Camacho Road, Oka Tamuning, Guam. You can reach out to his office (for appointments etc.) via phone at
(671) 647-2418.
Dr Jonathan Sidell is licensed to practice in Guam (license number M001496) 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 1477600187.
Physician's Profile
| Full Name | Dr Jonathan Sidell |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 850 Governor Carlos Camacho Road, Oka Tamuning, Guam |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477600187
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9830321199
- Enrollment ID: I20140421000753
Medical Identifiers
Medical identifiers for Dr Jonathan Sidell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477600187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | M001496 (Guam) | 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. Dr Jonathan Sidell allows following entities to bill medicare on his behalf.
| Entity Name | Guam Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366519027
PECOS PAC ID: 5890781694
Enrollment ID: O20040426000038 |
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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. Dr Jonathan Sidell 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 Jonathan Sidell, MD
850 Governor Carlos Camacho Road,
Oka Tamuning, GU 96913-3128
Ph: (671) 647-2418 | Dr Jonathan Sidell, MD
850 Governor Carlos Camacho Road,
Oka Tamuning, GU 96913-3128
Ph: (671) 647-2418 |
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