Sidra Gill, is a medicare enrolled "Family Medicine" physician in Fairport, New York. Her current practice location is
4646 Fairport Nine Mile Pt Rd, Fairport, New York. You can reach out to her office (for appointments etc.) via phone at
(302) 233-5660.
Sidra Gill is licensed to practice in New York (license number 60-P128130-01) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811737414.
Physician's Profile
| Full Name | Sidra Gill |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 4646 Fairport Nine Mile Pt Rd, Fairport, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811737414
- Provider Enumeration Date: 05/30/2024
- Last Update Date: 05/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799220919
- Enrollment ID: I20240712000310
Medical Identifiers
Medical identifiers for Sidra Gill such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811737414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 60-P128130-01 (New York) | 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. Sidra Gill allows following entities to bill medicare on her behalf.
| Entity Name | Ilm Medical Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023442035
PECOS PAC ID: 2769610989
Enrollment ID: O20140312001236 |
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| Entity Name | Clear Choice Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285155499
PECOS PAC ID: 1759636491
Enrollment ID: O20180620001586 |
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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. Sidra Gill 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 |
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Sidra Gill,
600 E Crescent Ave,
Upper Saddle River, NJ 07458-1846
Ph: () - | Sidra Gill,
4646 Fairport Nine Mile Pt Rd,
Fairport, NY 14450-1163
Ph: (302) 233-5660 |
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