| Dr Ryan C Sidebottom, DO | |
|
161 Genesee St Ste 106, Auburn, NY 13021-3390 | |
| (315) 567-0555 | |
| (315) 567-0308 |
| Full Name | Dr Ryan C Sidebottom |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 15 Years |
| Location | 161 Genesee St Ste 106, Auburn, New York |
| 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 |
|---|---|---|---|
| 1508178914 | NPI | - | NPPES |
| 04198454 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 280950 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Auburn Community Hospital | Auburn, NY | Hospital |
| University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upstate Urology, Inc. | 1254492952 | 23 |
| Auburn Memorial Medical Services Pc | 6406931385 | 108 |
| Entity Name | Auburn Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093712911 PECOS PAC ID: 2365346525 Enrollment ID: O20031120000617 |
| Entity Name | Auburn Memorial Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194913749 PECOS PAC ID: 6406931385 Enrollment ID: O20080318000053 |
| Entity Name | Upstate Urology, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003062043 PECOS PAC ID: 1254492952 Enrollment ID: O20081212000084 |
| Entity Name | Auburn Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336855683 PECOS PAC ID: 2365346525 Enrollment ID: O20230516002638 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan C Sidebottom, DO 17 Lansing St, Att: M.roberts, Auburn, NY 13021-1983 Ph: (315) 567-0480 | Dr Ryan C Sidebottom, DO 161 Genesee St Ste 106, Auburn, NY 13021-3390 Ph: (315) 567-0555 |
Jack E Keiser Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 50 Brookhollow Dr, Auburn, NY 13021 Phone: 315-252-0200 | |
Dr. David Scott Schnapp, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 192 Genesee St, Auburn, NY 13021 Phone: 315-258-5253 Fax: 315-258-0202 |