Dr Eric Clayton Siddall, MD - Medicare Nephrology in New York, NY

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Dr Eric Clayton Siddall, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in New York, New York. He went to State University Of New York At Buffalo School Of Medicine and graduated in 2005 and has 21 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Trustees Of Columbia University In The City Of New York and his current practice location is 177 Fort Washington Ave, 6th Floor, Ctr 12, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 305-2913.

Dr Eric Clayton Siddall is licensed to practice in New York (license number 245059) 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 1124210901.

Contact Information

Dr Eric Clayton Siddall, MD
177 Fort Washington Ave, 6th Floor, Ctr 12,
New York, NY 10032-3733
(212) 305-2913
Not Available

Map and Direction




Physician's Profile

Full NameDr Eric Clayton Siddall
GenderMale
SpecialityNephrology
Experience21 Years
Location177 Fort Washington Ave, New York, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Eric Clayton Siddall attended and graduated from State University Of New York At Buffalo School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1124210901
  • Provider Enumeration Date: 08/15/2007
  • Last Update Date: 06/24/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1850469966
  • Enrollment ID: I20081002000347

Medical Identifiers

Medical identifiers for Dr Eric Clayton Siddall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124210901NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 245059 (New York)Secondary
207RN0300XInternal Medicine - Nephrology 245059 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fkc - St Anns DialysisBronx, NYDialysis facility
New York-presbyterian HospitalNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Trustees Of Columbia University In The City Of New York85279725462262

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 Eric Clayton Siddall allows following entities to bill medicare on his behalf.
Entity NameTrustees of Columbia University in the City of New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437176047
PECOS PAC ID: 6002715794
Enrollment ID: O20031231000637
Entity NameTrustees of Columbia University in the City of New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982993184
PECOS PAC ID: 8527972546
Enrollment ID: O20040407001360
Entity NameTrustees of Columbia University in the City of New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508266347
PECOS PAC ID: 8527972546
Enrollment ID: O20151201002613

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 Eric Clayton 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 AddressPractice Location Address
Dr Eric Clayton Siddall, MD
630 West 168 Street, Box 4,
New York, NY 10032

Ph: Not Available		Dr Eric Clayton Siddall, MD
177 Fort Washington Ave, 6th Floor, Ctr 12,
New York, NY 10032-3733

Ph: (212) 305-2913

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.