Peter Damian Sidor, MD is a medicare enrolled "Pediatrics" physician in Cody, Wyoming. His current practice location is
1220 Sunshine Ave Ste 101, Cody, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 587-5545.
Peter Damian Sidor is licensed to practice in Wyoming (license number 10301A) 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 1568751014.
Physician's Profile
Full Name | Peter Damian Sidor |
---|
Gender | Male |
---|
Speciality | Pediatrics |
---|
Location | 1220 Sunshine Ave Ste 101, Cody, Wyoming |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568751014
- Provider Enumeration Date: 04/05/2011
- Last Update Date: 06/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 0840445227
- Enrollment ID: I20160201000509
Medical Identifiers
Medical identifiers for Peter Damian Sidor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568751014 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 10301A (Wyoming) | 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. Peter Damian Sidor allows following entities to bill medicare on his behalf.
Entity Name | West Park Hospital District |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1558351536 PECOS PAC ID: 7315855624 Enrollment ID: O20040127000865 |
---|
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. Peter Damian Sidor 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 |
Peter Damian Sidor, MD 1220 Sunshine Ave Ste 101, Cody, WY 82414-4247 Ph: (307) 587-5545 | Peter Damian Sidor, MD 1220 Sunshine Ave Ste 101, Cody, WY 82414-4247 Ph: (307) 587-5545 |
Reviews and Comments