Douglas Mitchell Sides, MD in Hilo, HI - Medicare Interventional Radiology

Douglas Mitchell Sides, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Hilo, Hawaii. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 1991 and has 33 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice California Imaging Institute Medical Group Inc, Central Valley Community Medical Imaging and his current practice location is 688 Kinoole St, Suite 103, Hilo, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 935-1825.

Douglas Mitchell Sides is licensed to practice in Nevada (license number 10716) 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 1144228255.

Contact Information

	Douglas Mitchell Sides, MD
	688 Kinoole St, Suite 103, Hilo, HI 96720
	(808) 935-1825
	(903) 663-7394

Map and Direction

Physician's Profile

Full Name	Douglas Mitchell Sides
Gender	Male
Speciality	Interventional Radiology
Experience	33 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.

Medical Education and Training:

Douglas Mitchell Sides attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1991

NPI Data:

NPI Number: 1144228255
Provider Enumeration Date: 07/12/2005
Last Update Date: 11/08/2018

Medicare PECOS Information:

PECOS PAC ID: 1153227111
Enrollment ID: I20031210000433

Medical Identifiers

Medical identifiers for Douglas Mitchell Sides such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144228255	NPI	-	NPPES
905838	Medicaid	AZ
CC5535	Other	NV	BLUE
100502411	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	G76456 (California)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	G76456 (California)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	10716 (Nevada)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Clovis Community Medical Center	Clovis, CA	Hospital
Community Regional Medical Center	Fresno, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
California Imaging Institute Medical Group Inc	1951325299	29
Central Valley Community Medical Imaging	5799679874	74

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. Douglas Mitchell Sides allows following entities to bill medicare on his behalf.

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

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. Douglas Mitchell Sides 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
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

Reviews and Comments

Radiology Doctors in Hilo, HI

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

Douglas Mitchell Sides, MD - Medicare Interventional Radiology in Hilo, HI