Sally J Sidman, MD is a medicare enrolled "Emergency Medicine" physician in Brazil, Indiana. Her current practice location is
1206 E. National Avenue, Brazil, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 442-2700.
Sally J Sidman is licensed to practice in Indiana (license number 01042578A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215952601.
Physician's Profile
Full Name | Sally J Sidman |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1206 E. National Avenue, Brazil, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Sally J Sidman attended and graduated from in
NPI Data:
- NPI Number: 1215952601
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 03/27/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Sally J Sidman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215952601 | NPI | - | NPPES |
036098644 | Other | IL | BLUE SHIELD |
100381480 | Medicaid | IN | |
036098644 | Medicaid | IL | |
000000602172 | Other | IN | BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 036-098644 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 01042578A (Indiana) | Primary |
207P00000X | Emergency Medicine | G74927 (California) | Secondary |
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. Sally J Sidman 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 |
Sally J Sidman, MD 1206 E. National Avenue, Brazil, IN 47834 Ph: (812) 442-2700 | Sally J Sidman, MD 1206 E. National Avenue, Brazil, IN 47834 Ph: (812) 442-2700 |
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