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

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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 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cepamerica Illinois Llp, Emergency Services Midwest Sc, Central Prairie Physicians Pllc, Camden Emergency Group Llc 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 NameKevin Sidhu
GenderMale
SpecialityFamily Practice
Experience11 Years
Location12140 New York Ranch Rd, Jackson, California
Accepts Medicare AssignmentsYes. 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: I20220404001152

Medical Identifiers

Medical identifiers for Kevin Sidhu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093165953NPI-NPPES
1093165953MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20A15886 (California)Secondary
207P00000XEmergency Medicine 036158817 (Illinois)Primary
207P00000XEmergency Medicine 2019045209 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial HospitalBelleville, ILHospital
Mc Donough District HospitalMacomb, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cepamerica Illinois Llp3274793633499
Emergency Services Midwest Sc276974605639
Central Prairie Physicians Pllc903261505923
Camden Emergency Group Llc296166536931

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 NameCepamerica Illinois Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912283110
PECOS PAC ID: 3274793633
Enrollment ID: O20120322000587
Entity NameMidwest Emergency Good Samaritan, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629367578
PECOS PAC ID: 1658529342
Enrollment ID: O20120921000645
Entity NameMidwest Emergency Centralia Campus Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396034245
PECOS PAC ID: 2163672650
Enrollment ID: O20121018000074
Entity NameIntegritas Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790128817
PECOS PAC ID: 7113167446
Enrollment ID: O20130710000760
Entity NameMidwest Emergency Sparta, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194162370
PECOS PAC ID: 0345481255
Enrollment ID: O20130718000343
Entity NameGranite City Hospitalist Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669926424
PECOS PAC ID: 8527356591
Enrollment ID: O20161006000282
Entity NameEmergency Services Midwest Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174024806
PECOS PAC ID: 2769746056
Enrollment ID: O20180515000619
Entity NameStatera Health Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043874449
PECOS PAC ID: 0244565729
Enrollment ID: O20190708000284
Entity NameMidwest Emergency Anderson Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710647615
PECOS PAC ID: 8022401256
Enrollment ID: O20220210000357
Entity NameMidwest Inpatient Anderson Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821758608
PECOS PAC ID: 3072908474
Enrollment ID: O20220322002045
Entity NameDeaconess Illinois Specialty Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972210235
PECOS PAC ID: 9830562016
Enrollment ID: O20230321001688

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 AddressPractice 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


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.