Dr Stanley J Sidwell Iv, MD - Medicare Internal Medicine in Alton, IL

Dr Stanley J Sidwell Iv, MD is a medicare enrolled "Internal Medicine" physician in Alton, Illinois. His current practice location is 1 Memorial Dr, Alton, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 463-7240.

Dr Stanley J Sidwell Iv is licensed to practice in Illinois (license number 036063407) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073529475.

Contact Information

Dr Stanley J Sidwell Iv, MD
1 Memorial Dr,
Alton, IL 62002-6722
(618) 463-7240
(618) 463-7216



Physician's Profile

Full NameDr Stanley J Sidwell Iv
GenderMale
SpecialityInternal Medicine
Location1 Memorial Dr, Alton, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073529475
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 12/16/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8426036104
  • Enrollment ID: I20040709000440

Medical Identifiers

Medical identifiers for Dr Stanley J Sidwell Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073529475NPI-NPPES
0360634071MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine R5A64 (Missouri)Secondary
207R00000XInternal Medicine 036063407 (Illinois)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. Dr Stanley J Sidwell Iv allows following entities to bill medicare on his behalf.
Entity NameIllinois Hospitalists Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871832931
PECOS PAC ID: 8224275862
Enrollment ID: O20130520000092

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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. Dr Stanley J Sidwell Iv 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
Dr Stanley J Sidwell Iv, MD
670 Mason Ridge Center Dr, Suite 300,
Saint Louis, MO 63141-8573

Ph: (618) 463-7240
Dr Stanley J Sidwell Iv, MD
1 Memorial Dr,
Alton, IL 62002-6722

Ph: (618) 463-7240

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Internal Medicine Doctors in Alton, IL

Ibrahim B.i. Elayyan, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Saint Anthonys Way, Alton, IL 62002
Phone: 314-317-0600    Fax: 314-317-0606
Dr. Barry Michael Mossman, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2 Memorial Dr, Ste 220, Alton, IL 62002
Phone: 618-474-1723    Fax: 618-474-6989
Dr. Matthew Austin Nations, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Memorial Dr, Alton, IL 62002
Phone: 618-463-7240    
Mr. David Robert Riedel, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002
Phone: 618-463-7874    Fax: 618-463-7846
Dr. Edward B Blair Jr., M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2 Saint Anthonys Way, Suite 205, Alton, IL 62002
Phone: 618-462-2222    Fax: 618-463-5004
Dr. William Ray Bartley, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Professional Dr, Suite 220, Alton, IL 62002
Phone: 618-463-8626    Fax: 618-463-8688

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