| Douglas Mitchell Sides, MD | |
|
688 Kinoole St, Suite 103, Hilo, HI 96720 | |
| (808) 935-1825 | |
| (903) 663-7394 |
| Full Name | Douglas Mitchell Sides |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 34 Years |
| Location | 688 Kinoole St, Hilo, Hawaii |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144228255 | NPI | - | NPPES |
| 905838 | Medicaid | AZ | |
| CC5535 | Other | NV | BLUE |
| 100502411 | Medicaid | NV |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clovis Community Medical Center | Clovis, CA | Hospital |
| Community Regional Medical Center | Fresno, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| California Imaging Institute Medical Group Inc | 1951325299 | 33 |
| Central Valley Community Medical Imaging | 5799679874 | 92 |
| Entity Name | Central Valley Community Medical Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376637264 PECOS PAC ID: 5799679874 Enrollment ID: O20040210000681 |
| Entity Name | California Imaging Institute Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497764468 PECOS PAC ID: 1951325299 Enrollment ID: O20060125000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Mitchell Sides, MD Po Box 30077, Salt Lake City, UT 84130-0077 Ph: (702) 477-0772 | Douglas Mitchell Sides, MD 688 Kinoole St, Suite 103, Hilo, HI 96720 Ph: (808) 935-1825 |
Manfred Tejerina, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 688 Kinoole St Ste 103, Hilo, HI 96720 Phone: 808-969-8010 Fax: 903-663-7394 | |
Dr. Michael Jt Seu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 670 Ponahawai St, #110, Hilo, HI 96720 Phone: 808-933-2540 Fax: 808-935-5207 | |
Dr. David W Camacho, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 670 Ponahawai St, #103, Hilo, HI 96720 Phone: 808-933-2540 Fax: 808-935-5207 | |
Dr. Ming Y Peng, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1190 Waianuenue St, Hilo Medical Center, Hilo, HI 96720 Phone: 808-974-6841 Fax: 808-935-1889 | |
Dr. Scott R Grosskreutz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 82 Puuhonu Pl, #102, Hilo, HI 96720 Phone: 808-961-4746 Fax: 808-933-2532 | |
John L Wade, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 688 Kinoole St Ste 103, Hilo, HI 96720 Phone: 808-969-8010 Fax: 903-663-7394 |