Sophie Amelia Sidman, FNP in Marietta, GA - Medicare Nurse Practitioner

Sophie Amelia Sidman, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Marietta, Georgia. Her current practice location is 4800 Olde Towne Pkwy # 320, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 341-6370.

Sophie Amelia Sidman is licensed to practice in Georgia (license number RN323929) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871398859.

Contact Information

	Sophie Amelia Sidman, FNP
	4800 Olde Towne Pkwy # 320, Marietta, GA 30068-4357
	(678) 341-6370
	Not Available

Map and Direction

Provider's Profile

Full Name	Sophie Amelia Sidman
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	4800 Olde Towne Pkwy # 320, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871398859
Provider Enumeration Date: 02/14/2025
Last Update Date: 03/13/2025

Medicare PECOS Information:

PECOS PAC ID: 1658898127
Enrollment ID: I20250508000091

Medical Identifiers

Medical identifiers for Sophie Amelia Sidman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871398859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	RN323929 (Georgia)	Primary

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. Sophie Amelia Sidman allows following entities to bill medicare on her behalf.

Entity Name	Southeast Medical Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347

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. Sophie Amelia Sidman 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
Sophie Amelia Sidman, FNP 1295 E Rock Springs Rd Ne Apt 403, Atlanta, GA 30306-2341 Ph: (404) 984-1363	Sophie Amelia Sidman, FNP 4800 Olde Towne Pkwy # 320, Marietta, GA 30068-4357 Ph: (678) 341-6370

Reviews and Comments

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Sophie Amelia Sidman, FNP - Medicare Nurse Practitioner in Marietta, GA