Dr Brian Douglas Siddall, MD is a medicare enrolled "General Practice" physician in Mc Rae, Georgia. He graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Community Health Care Systems, Inc. and his current practice location is
280 E Willow Creek Ln, Mc Rae, Georgia. You can reach out to his office (for appointments etc.) via phone at
(478) 864-3448.
Dr Brian Douglas Siddall is licensed to practice in Georgia (license number 023227) 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 1205029352.
Physician's Profile
| Full Name | Dr Brian Douglas Siddall |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 44 Years |
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| Location | 280 E Willow Creek Ln, Mc Rae, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Brian Douglas Siddall graduated from medical school in 1980
NPI Data:
- NPI Number: 1205029352
- Provider Enumeration Date: 08/22/2007
- Last Update Date: 10/29/2018
Medicare PECOS Information:
- PECOS PAC ID: 8325026644
- Enrollment ID: I20040712001333
Medical Identifiers
Medical identifiers for Dr Brian Douglas Siddall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205029352 | NPI | - | NPPES |
| 23227 | Other | GA | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 023227 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Community Health Care Systems, Inc. | 5890783179 | 10 |
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 Brian Douglas Siddall allows following entities to bill medicare on his behalf.
| Entity Name | Community Health Care Systems, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932150422
PECOS PAC ID: 5890783179
Enrollment ID: O20040505000153 |
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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. Dr Brian Douglas Siddall 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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Dr Brian Douglas Siddall, MD
Po Box 371, 2251 West Elm Street,
Wrightsville, GA 31096-0371
Ph: (478) 864-3448 | Dr Brian Douglas Siddall, MD
280 E Willow Creek Ln,
Mc Rae, GA 31055-5128
Ph: (478) 864-3448 |
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