Dr Larry Steven Sidaway, DO in Fargo, ND - Medicare Internal Medicine

Dr Larry Steven Sidaway, DO is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Fargo, North Dakota. His current practice location is 3000 32nd Avenue South, Essentia Health 32nd Avenue Clinic, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 364-8000.

Dr Larry Steven Sidaway is licensed to practice in North Dakota (license number 6614) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841245743.

Contact Information

	Dr Larry Steven Sidaway, DO
	3000 32nd Avenue South, Essentia Health 32nd Avenue Clinic, Fargo, ND 58103-6132
	(701) 364-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Larry Steven Sidaway
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	3000 32nd Avenue South, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841245743
Provider Enumeration Date: 05/23/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1456368588
Enrollment ID: I20101123001225

Medical Identifiers

Medical identifiers for Dr Larry Steven Sidaway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841245743	NPI	-	NPPES
36623	Other		HEALTH PARTNERS
41986380	Medicaid	MN
0501643	Medicaid	IA
6003420	Medicaid	SD
0005335	Other	SD	SD BCBS
36047SI	Other	MN	MN BCBS - PLAN 91057NO
4303	Other	SD	DAKOTACARE
931451029047	Other		PREFERRED ONE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	6614 (North Dakota)	Primary

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 Larry Steven Sidaway allows following entities to bill medicare on his behalf.

Entity Name	Avera St Marys
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579

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 Larry Steven Sidaway 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
Dr Larry Steven Sidaway, DO 400 East Third Street, Essentia Health Duluth Clinic Mcl2cred, Duluth, MN 55805-1951 Ph: (218) 786-1183	Dr Larry Steven Sidaway, DO 3000 32nd Avenue South, Essentia Health 32nd Avenue Clinic, Fargo, ND 58103-6132 Ph: (701) 364-8000

Reviews and Comments

Internal Medicine Doctors in Fargo, ND

Abdallah M Mansour, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900
Gerald G Gross, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161
Paul James Carson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979
Howard L Russell, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 820 N 4th St, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-3861
Stephen John Lee, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2101 Elm Street N, Fargo, ND 58102 Phone: 701-239-3700
Dr. Emuejevoke Joseph Okoh, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000
Dr. Krishna Chaitanya Talluri, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2731

Dr Larry Steven Sidaway, DO - Medicare Internal Medicine in Fargo, ND