Kevin Sidhu, DO in Jackson, CA - Medicare Family Practice

Kevin Sidhu, DO is a medicare enrolled "Emergency Medicine" physician in Jackson, California. He went to Touro Un College Of Osteopathic Medicine, Vallejo and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southeastern Emergency Physicians Of Memphis Llc, Cepamerica Illinois Llp and his current practice location is 12140 New York Ranch Rd, Jackson, California. You can reach out to his office (for appointments etc.) via phone at (209) 257-2400.

Kevin Sidhu is licensed to practice in Illinois (license number 036158817) 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 1093165953.

Contact Information

	Kevin Sidhu, DO
	12140 New York Ranch Rd, Jackson, CA 95642-9407
	(209) 257-2400
	Not Available

Map and Direction

Physician's Profile

Full Name	Kevin Sidhu
Gender	Male
Speciality	Family Practice
Experience	9 Years
Location	12140 New York Ranch Rd, Jackson, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kevin Sidhu attended and graduated from Touro Un College Of Osteopathic Medicine, Vallejo in 2015

NPI Data:

NPI Number: 1093165953
Provider Enumeration Date: 06/21/2016
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 0547528192
Enrollment ID: I20200407001199

Medical Identifiers

Medical identifiers for Kevin Sidhu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093165953	NPI	-	NPPES
1093165953	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	20A15886 (California)	Secondary
207P00000X	Emergency Medicine	036158817 (Illinois)	Primary
207P00000X	Emergency Medicine	2019045209 (Missouri)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkland Health Center	Farmington, MO	Hospital
Hshs St Elizabeth's Hospital	O fallon, IL	Hospital
Christian Hospital Northeast	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Emergency Physicians Of Memphis Llc	5395643209	88
Cepamerica Illinois Llp	3274793633	407

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. Kevin Sidhu allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Emergency Physicians Of Memphis Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434

Entity Name	Cep America Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325

Entity Name	Midwest Hospitalist Physicians Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891242319 PECOS PAC ID: 9830487966 Enrollment ID: O20200915000597

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. Kevin Sidhu 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
Kevin Sidhu, DO 2362 Camberwell Dr, Saint Louis, MO 63131-2116 Ph: (209) 269-0451	Kevin Sidhu, DO 12140 New York Ranch Rd, Jackson, CA 95642-9407 Ph: (209) 257-2400

Reviews and Comments

Emergency Medicine Doctors in Jackson, CA

Gerard V. Bland, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Mission Boulevard, Jackson, CA 95642 Phone: 209-223-7500
Drew D. Hood, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Mission Boulevard, Jackson, CA 95642 Phone: 209-223-7500
Steven C. Gabaeff, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Mission Boulevard, Jackson, CA 95642 Phone: 209-223-7500
Michael W. Juby, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Mission Boulevard, Jackson, CA 95642 Phone: 209-223-7500
Bradford J. Chew, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Mission Boulevard, Jackson, CA 95642 Phone: 209-223-7500
Shawn K. Brady, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Mission Boulevard, Jackson, CA 95642 Phone: 209-223-7500
Thomas Alan Bowhay, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 N Highway 49-88, Jackson, CA 95642 Phone: 209-223-1720 Fax: 209-223-1477

Kevin Sidhu, DO - Medicare Family Practice in Jackson, CA