Mr Randy C Sidwell, PT, MS, ATC in Pocatello, ID - Medicare Physical Therapy Provider

Mr Randy C Sidwell, PT, MS, ATC is a medicare enrolled "Physical Therapist" provider in Pocatello, Idaho. He graduated from medical school in 1996 and has 29 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Pocatello Physical Therapy and his current practice location is 333 N 18th Ave Ste D2, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 232-6490.

Mr Randy C Sidwell is licensed to practice in Idaho (license number PT-1535) 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 1962547257.

Contact Information

	Mr Randy C Sidwell, PT, MS, ATC
	333 N 18th Ave Ste D2, Pocatello, ID 83201-3358
	(208) 232-6490
	(208) 234-4805

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Randy C Sidwell
Gender	Male
Speciality	Physical Therapy
Experience	29 Years
Location	333 N 18th Ave Ste D2, Pocatello, Idaho
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:

Mr Randy C Sidwell graduated from medical school in 1996

NPI Data:

NPI Number: 1962547257
Provider Enumeration Date: 02/21/2007
Last Update Date: 03/15/2012

Medicare PECOS Information:

PECOS PAC ID: 7416994975
Enrollment ID: I20050415000358

Medical Identifiers

Medical identifiers for Mr Randy C Sidwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962547257	NPI	-	NPPES
805846600	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT-1535 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pocatello Physical Therapy	6002242831	2

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. Mr Randy C Sidwell allows following entities to bill medicare on his behalf.

Provider Name	Pocatello Physical Therapy
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548808637 PECOS PAC ID: 6002242831 Enrollment ID: O20200213002985

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. Mr Randy C Sidwell 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
Mr Randy C Sidwell, PT, MS, ATC 333 N 18th Ave Ste D2, Pocatello, ID 83201-3358 Ph: (208) 232-6490	Mr Randy C Sidwell, PT, MS, ATC 333 N 18th Ave Ste D2, Pocatello, ID 83201-3358 Ph: (208) 232-6490

Reviews and Comments

Physical Therapist in Pocatello, ID

Dr. Jared Denor Lundquist, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2450 Skylar Pl, Pocatello, ID 83201 Phone: 435-339-9058
Bart William Mcdonald, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr, 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219
Mr. Trent Jackman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Garrison Bldg 63, Room 202, Stop 8045, Pocatello, ID 83209 Phone: 208-282-3065
Laura M Sprague, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 Vista Dr, Suite A, Pocatello, ID 83201 Phone: 208-478-1488 Fax: 208-478-1498
Mr. Joshua Strait, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr Ste 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219
Kaitlin Bailey Livesay Vail, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 921 S 8th Ave Stop 8045, Pocatello, ID 83201 Phone: 208-282-4095
Streamline Sports Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 335 E Lewis St Ste 10, Pocatello, ID 83201 Phone: 208-269-2360 Fax: 208-550-3256

Mr Randy C Sidwell, PT, MS, ATC - Medicare Physical Therapist in Pocatello, ID