Sally J Sidman, MD is a
Emergency Medicine physician based in Brazil, Indiana. Sally J Sidman is licensed to practice in Indiana (license number 01042578A) and her current practice location is 1206 E. National Avenue, Brazil, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 442-2700.
NPI number for Sally J Sidman is 1215952601 and her current mailing address is 1206 E. National Avenue, Brazil, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215952601.
Physician's Profile
| Full Name | Sally J Sidman |
|---|
| Gender | Female |
|---|
| Speciality | Emergency Medicine |
|---|
| Location | 1206 E. National Avenue, Brazil, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215952601
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 03/27/2014
Medical Identifiers
Medical identifiers for Sally J Sidman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215952601 | NPI | - | NPPES |
| 036098644 | Other | IL | BLUE SHIELD |
| 100381480 | Medicaid | IN | |
| 036098644 | Medicaid | IL | |
| 000000602172 | Other | IN | BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 036-098644 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 01042578A (Indiana) | Primary |
| 207P00000X | Emergency Medicine | G74927 (California) | Secondary |
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. Sally J Sidman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Sally J Sidman, MD 1206 E. National Avenue, Brazil, IN 47834 Ph: (812) 442-2700 | Sally J Sidman, MD 1206 E. National Avenue, Brazil, IN 47834 Ph: (812) 442-2700 |
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