| Mr Kevin J Sides, DO | |
|
1216 W Main St, Festus, MO 63028-1654 | |
| (636) 543-7600 | |
| Not Available |
| Full Name | Mr Kevin J Sides |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1216 W Main St, Festus, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821096652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R9F72 (Missouri) | Primary |
| Entity Name | Physician Groups Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin J Sides, DO 1216 W Main St, Festus, MO 63028-1654 Ph: (636) 543-7600 | Mr Kevin J Sides, DO 1216 W Main St, Festus, MO 63028-1654 Ph: (636) 543-7600 |
Martial Fotso, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-5337 Fax: 636-933-8090 | |
Dr. Caroline Song, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-1000 | |
Dr. Leah Christine Silver, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 Calvary Church Rd, Festus, MO 63028 Phone: 636-933-2900 Fax: 636-933-8017 | |
Dr. Karam Abdelmasih, MD, AP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1153 E Gannon Dr, Festus, MO 63028 Phone: 636-282-0380 | |
Earl Gene Draves, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1471 Us Highway 61, Festus, MO 63028 Phone: 636-937-2700 Fax: 636-937-8666 | |
Jeffrey Leonard Draves, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1471 Us Hwy 61, Festus, Festus, MO 63028 Phone: 636-937-2700 Fax: 636-937-8666 | |
Dr. Kenneth Richard Kilian, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1390 Highway 61, Suite 2200, Festus, MO 63028 Phone: 636-933-9300 Fax: 636-933-9114 |