| Jonas Vytas Sidrys, MD | |
|
1 Medical Center Blvd, Cookeville, TN 38501-4294 | |
| (931) 783-2497 | |
| (931) 783-5757 |
| Full Name | Jonas Vytas Sidrys |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 39 Years |
| Location | 1 Medical Center Blvd, Cookeville, Tennessee |
| 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 |
|---|---|---|---|
| 1124068275 | NPI | - | NPPES |
| 3806863 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 14416C (Wyoming) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 39315 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cookeville Regional Medical Center | Cookeville, TN | Hospital |
| Cody Regional Health | Cody, WY | Hospital |
| Tristar Stonecrest Medical Center | Smyrna, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tennessee Oncology Pllc | 4688586134 | 323 |
| Cookeville Regional Medical Center | 7810805736 | 51 |
| Entity Name | Tennessee Oncology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811955917 PECOS PAC ID: 4688586134 Enrollment ID: O20031103000534 |
| Entity Name | Cookeville Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023397031 PECOS PAC ID: 7810805736 Enrollment ID: O20040921001310 |
| Entity Name | Upper Cumberland Oncology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346261245 PECOS PAC ID: 6002825445 Enrollment ID: O20090701000179 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonas Vytas Sidrys, MD Po Box 827, Cookeville, TN 38503-0827 Ph: (931) 783-2497 | Jonas Vytas Sidrys, MD 1 Medical Center Blvd, Cookeville, TN 38501-4294 Ph: (931) 783-2497 |
Dr. Donald Wayne Huff, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 142 W 5th St, Cookeville, TN 38501 Phone: 931-528-2541 Fax: 931-526-8814 | |
Spencer J. Madell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 142 W 5th St, Cookeville, TN 38501 Phone: 931-528-2541 Fax: 931-526-8814 | |
Dr. William Merritt Humphrey, MD Radiology Medicare: Medicare Enrolled Practice Location: 315 N. Washington Avenue, Suite 103, Cookeville, TN 38501 Phone: 931-528-2443 Fax: 931-528-1488 | |
Dr. John Paul Limbacher Ii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 315 N Washington Ave Ste 103, Cookeville, TN 38501 Phone: 931-528-2443 Fax: 931-528-1488 | |
Algis Petras Sidrys, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Cookeville, TN 38501 Phone: 931-783-2497 Fax: 931-783-5757 | |
Ginny C Charnock, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 142 W 5th St, Cookeville, TN 38501 Phone: 931-528-2541 |