Ryan Sidebottom, FNP in Phoenix, AZ - Medicare Nurse Practitioner

Ryan Sidebottom, FNP is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Phoenix Children's Hospital and his current practice location is 1919 E Thomas Rd, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 933-0985.

Ryan Sidebottom is licensed to practice in Arizona (license number AP8251) 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 1104298090.

Contact Information

	Ryan Sidebottom, FNP
	1919 E Thomas Rd, Phoenix, AZ 85016-7710
	(602) 933-0985
	(602) 933-2442

Map and Direction

Provider's Profile

Full Name	Ryan Sidebottom
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	1919 E Thomas Rd, Phoenix, Arizona
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:

Ryan Sidebottom graduated from nursing school in 2015

NPI Data:

NPI Number: 1104298090
Provider Enumeration Date: 10/30/2015
Last Update Date: 03/27/2018

Medicare PECOS Information:

PECOS PAC ID: 9537457528
Enrollment ID: I20161006000970

Medical Identifiers

Medical identifiers for Ryan Sidebottom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104298090	NPI	-	NPPES
075841	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP8251 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Phoenix Children's Hospital	0446278584	311

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. Ryan Sidebottom allows following entities to bill medicare on his behalf.

Entity Name	Phoenix Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704

Entity Name	Chikwendu C Nwosu Md Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508155979 PECOS PAC ID: 5698950178 Enrollment ID: O20110427000205

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. Ryan Sidebottom 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
Ryan Sidebottom, FNP 3200 E Camelback Rd Ste 250, Phoenix, AZ 85018-2327 Ph: (602) 933-1814	Ryan Sidebottom, FNP 1919 E Thomas Rd, Phoenix, AZ 85016-7710 Ph: (602) 933-0985

Reviews and Comments

Nurse Practitioner Nurses in Phoenix, AZ

Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581
Miss Kimara Vaughn, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Van Buren St, Phoenix, AZ 85008 Phone: 602-273-9999
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186
Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132
Tyler Ann Brockhoff, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2632 E Thomas Rd # 100, Phoenix, AZ 85016 Phone: 602-957-2507
Mrs. Sonia Teresa Brunson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 E Morten Ave Unit 54, Phoenix, AZ 85020 Phone: 925-413-9919
Susannamma Lijan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5345

Ryan Sidebottom, FNP - Medicare Nurse Practitioner in Phoenix, AZ