Dr Richard Sidlow, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Columbia, Missouri. His current practice location is
1020 Hitt St, Columbia, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 882-6921.
Dr Richard Sidlow is licensed to practice in Missouri (license number 2023017776) 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 1689647380.
Physician's Profile
| Full Name | Dr Richard Sidlow |
|---|
| Gender | Male |
|---|
| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
|---|
| Location | 1020 Hitt St, Columbia, Missouri |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1689647380
- Provider Enumeration Date: 02/12/2006
- Last Update Date: 05/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880952670
- Enrollment ID: I20201030002391
Medical Identifiers
Medical identifiers for Dr Richard Sidlow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689647380 | NPI | - | NPPES |
| 01947731 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 205196 (New York) | Secondary |
| 208000000X | Pediatrics | A170253 (California) | Secondary |
| 208000000X | Pediatrics | 2023017776 (Missouri) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 2023017776 (Missouri) | 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 Richard Sidlow allows following entities to bill medicare on his behalf.
| Entity Name | Valley Childrens Medical Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1437555265
PECOS PAC ID: 9032439336
Enrollment ID: O20150528001593 |
|---|
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 Richard Sidlow 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 Richard Sidlow, MD
Po Box 843966,
Kansas City, MO 64184-3966
Ph: (573) 884-3300 | Dr Richard Sidlow, MD
1020 Hitt St,
Columbia, MO 65212-0001
Ph: (573) 882-6921 |
Reviews and Comments