Jake Sides, in Bristol, TN - Medicare General Surgery

Jake Sides, is a medicare enrolled "Surgery" physician in Bristol, Tennessee. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Bristol Surgical Associates Pc, Bristol Surgical Associates Pc and his current practice location is 1 Medical Park Blvd Ste 250w, Bristol, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 844-6620.

Jake Sides is licensed to practice in Tennessee (license number 63286) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003279662.

Contact Information

	Jake Sides,
	1 Medical Park Blvd Ste 250w, Bristol, TN 37620-7431
	(423) 844-6620
	(423) 844-6626

Map and Direction

Physician's Profile

Full Name	Jake Sides
Gender	Male
Speciality	General Surgery
Experience	8 Years
Location	1 Medical Park Blvd Ste 250w, Bristol, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jake Sides graduated from medical school in 2016

NPI Data:

NPI Number: 1003279662
Provider Enumeration Date: 03/31/2016
Last Update Date: 07/03/2024

Medicare PECOS Information:

PECOS PAC ID: 9436441870
Enrollment ID: I20210719000075

Medical Identifiers

Medical identifiers for Jake Sides such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003279662	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	0101275797 (Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208600000X	Surgery	63286 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellmont Bristol Regional Medical Center	Bristol, TN	Hospital
Smyth County Community Hospital	Marion, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bristol Surgical Associates Pc	7416038377	8
Bristol Surgical Associates Pc	7416038377	8

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. Jake Sides allows following entities to bill medicare on his behalf.

Entity Name	Bristol Surgical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811066947 PECOS PAC ID: 7416038377 Enrollment ID: O20080116000673

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. Jake Sides 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
Jake Sides, 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565	Jake Sides, 1 Medical Park Blvd Ste 250w, Bristol, TN 37620-7431 Ph: (423) 844-6620

Reviews and Comments

Surgery Doctors in Bristol, TN

Dr. Sidney W Collins Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, 250 West, Bristol, TN 37620 Phone: 423-844-6620 Fax: 423-844-6626
Robert H Blanton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, 250 West, Bristol, TN 37620 Phone: 423-844-6620 Fax: 423-844-6627
Ms. Elizabeth Dray, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121
Michael E Chupp, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 312 Mia Dr, Bristol, TN 37620 Phone: 423-366-6005
Michael D Rowell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, 250 West, Bristol, TN 37620 Phone: 423-844-6620 Fax: 423-844-6627
Benjamin S Scharfstein, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd Ste 250w, Bristol, TN 37620 Phone: 423-844-6620 Fax: 423-844-6627

Jake Sides, - Medicare General Surgery in Bristol, TN