Irina Sidorenko, is a
Physician Assistant - Surgical physician based in Grayson, Georgia. Irina Sidorenko is licensed to practice in Georgia (license number 20-299) and her current practice location is 2311 Ridge Forest Dr, Grayson, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 656-6819.
NPI number for Irina Sidorenko is 1740898279 and her current mailing address is 2311 Ridge Forest Dr, Grayson, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740898279.
Physician's Profile
Full Name | Irina Sidorenko |
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Gender | Female |
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Speciality | Physician Assistant - Surgical |
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Location | 2311 Ridge Forest Dr, Grayson, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740898279
- Provider Enumeration Date: 07/21/2020
- Last Update Date: 11/19/2021
Medical Identifiers
Medical identifiers for Irina Sidorenko such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740898279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 20299 (Georgia) | Secondary |
363AS0400X | Physician Assistant - Surgical | 20-299 (Georgia) | Primary |
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. Irina Sidorenko is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Irina Sidorenko, 2311 Ridge Forest Dr, Grayson, GA 30017-1718 Ph: (678) 656-6819 | Irina Sidorenko, 2311 Ridge Forest Dr, Grayson, GA 30017-1718 Ph: (678) 656-6819 |
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