Dr Nicole C Sidock, OD in Moline, IL - Medicare Optometrist Provider

Dr Nicole C Sidock, OD is a medicare enrolled "Optometrist" provider in Moline, Illinois. Her current practice location is 4406 16th St, Moline, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 762-2020.

Dr Nicole C Sidock is licensed to practice in Illinois (license number 046009589) 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 1700914504.

Contact Information

	Dr Nicole C Sidock, OD
	4406 16th St, Moline, IL 61265-7012
	(309) 762-2020
	(309) 762-2022

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicole C Sidock
Gender	Female
Speciality	Optometrist
Location	4406 16th St, Moline, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700914504
Provider Enumeration Date: 03/01/2007
Last Update Date: 05/20/2010

Medicare PECOS Information:

PECOS PAC ID: 0042752651
Enrollment ID: I20240611002964

Medical Identifiers

Medical identifiers for Dr Nicole C Sidock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700914504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	046009589 (Illinois)	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. Dr Nicole C Sidock allows following entities to bill medicare on her behalf.

Provider Name	Vep Il Optometric Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1528536620 PECOS PAC ID: 3678814217 Enrollment ID: O20190409002694

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. Dr Nicole C Sidock 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
Dr Nicole C Sidock, OD 4406 16th St, Moline, IL 61265-7012 Ph: (309) 762-2020	Dr Nicole C Sidock, OD 4406 16th St, Moline, IL 61265-7012 Ph: (309) 762-2020

Reviews and Comments

Optometrist in Moline, IL

Sara R Kurtis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4429 16th St, Moline, IL 61265 Phone: 309-762-3937 Fax: 309-623-6993
Vep Il Optometric Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4406 16th St, Moline, IL 61265 Phone: 309-762-2020
Dr. Brent C Nielsen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4540 3rd St, The Eye Center, Moline, IL 61265 Phone: 309-797-0877
Family Eye Care Southpark Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4703 16th St, Moline, IL 61265 Phone: 309-762-3937
Gregory M New, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4500 16th St Ste 100, Moline, IL 61265 Phone: 309-764-0444 Fax: 978-670-7778
Quad Cities Eye Care, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4500 16th St Ste 100, Moline, IL 61265 Phone: 309-764-0444
Dr. Francis M Loomis Ii, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 550 30th Ave, Ste #1, Moline, IL 61265 Phone: 309-764-2623 Fax: 309-764-5214

Dr Nicole C Sidock, OD - Medicare Optometrist in Moline, IL