| Dr Stephen D Sides, DO | |
|
1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | |
| (573) 635-5264 | |
| (573) 761-4351 |
| Full Name | Dr Stephen D Sides |
|---|---|
| Gender | Male |
| Speciality | Rheumatology |
| Experience | 27 Years |
| Location | 1241 W Stadium Blvd, Jefferson City, Missouri |
| 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 |
|---|---|---|---|
| 1366428914 | NPI | - | NPPES |
| P00143530 | Other | MO | MEDICARE RAILROAD |
| CD6058 | Other | MO | RAILROAD GROUP |
| 245300611 | Medicaid | MO | |
| 191077 | Other | MO | BCBS |
| 461803 | Other | MO | HEALTHLINK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2001001591 (Missouri) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | 2001001591 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phelps County Regional Medical Center | Rolla, MO | Hospital |
| Ssm Health St Mary's Hospital Jefferson City | Jefferson city, MO | Hospital |
| Lake Regional Health System | Osage beach, MO | Hospital |
| Boone Hospital Center | Columbia, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson City Medical Group Pc | 1850371089 | 102 |
| Entity Name | Jefferson City Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen D Sides, DO Po Box 104240, Jefferson City, MO 65110-4240 Ph: (573) 635-5264 | Dr Stephen D Sides, DO 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 635-5264 |
Vineela Kasireddy, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1432 Southwest Blvd, Jefferson City, MO 65109 Phone: 573-632-4800 | |
Dr. Thomas W. Schneider, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-761-4351 | |
Dr. Conrad S. Balcer, D.O. Rheumatology Medicare: Medicare Enrolled Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-761-4611 | |
Rolando Daniel Breier, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-893-6404 Fax: 573-893-6505 | |
Dr. Hemal Yogesh Patel, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 Fax: 573-634-2033 | |
Chad Zeglis, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-681-3396 Fax: 573-681-3617 | |
Austin Blake King, MD Rheumatology Medicare: May Accept Medicare Assignments Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-681-3000 |