John R Siddoway, MD - Medicare Otolaryngology in Ogden, UT

John R Siddoway, MD is a medicare enrolled "Otolaryngology" physician in Ogden, Utah. He went to University Of Utah School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Ogden Clinic Specialty Services Llc and his current practice location is 4650 Harrison Blvd, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 475-3075.

John R Siddoway is licensed to practice in Utah (license number 185189-1205) 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 1356338388.

Contact Information

John R Siddoway, MD
4650 Harrison Blvd,
Ogden, UT 84403-4303
(801) 475-3075
(801) 475-3076



Physician's Profile

Full NameJohn R Siddoway
GenderMale
SpecialityOtolaryngology
Experience45 Years
Location4650 Harrison Blvd, Ogden, Utah
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:
  • John R Siddoway attended and graduated from University Of Utah School Of Medicine in 1979
  NPI Data:
  • NPI Number: 1356338388
  • Provider Enumeration Date: 10/04/2005
  • Last Update Date: 01/19/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7810077179
  • Enrollment ID: I20110106000803

Medical Identifiers

Medical identifiers for John R Siddoway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356338388NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 185189-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mckay Dee HospitalOgden, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ogden Clinic Specialty Services Llc1658781422106

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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. John R Siddoway allows following entities to bill medicare on his behalf.
Entity NameOgden Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578550083
PECOS PAC ID: 9638078033
Enrollment ID: O20040105000780

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Entity NameOgden Clinic Specialty Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114203668
PECOS PAC ID: 1658781422
Enrollment ID: O20201105001806

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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. John R Siddoway 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
John R Siddoway, MD
Po Box 5546,
Denver, CO 80217-5546

Ph: (801) 475-3075
John R Siddoway, MD
4650 Harrison Blvd,
Ogden, UT 84403-4303

Ph: (801) 475-3075

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Otolaryngology Doctors in Ogden, UT

Dr. Robert Lionel Moesinger, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 3955 Harrison Blvd, Ste U6, Ogden, UT 84403
Phone: 801-393-5324    Fax: 801-393-7780
Dr. Michael Coleman Scheuller, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 4403 Harrison Blvd, Ste 2645, Ogden, UT 84403
Phone: 801-387-2880    Fax: 801-387-2885
Dr. William I Owens Ii, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Country Hills Dr, #200, Ogden, UT 84403
Phone: 801-399-5104    Fax: 801-399-0830
Nadim B Bikhazi, MD
Otolaryngology
Medicare: May Accept Medicare Assignments
Practice Location: 4650 Harrison Blvd, Ogden, UT 84403
Phone: 801-475-3075    Fax: 801-475-3076
Dr. Ronald F Gordon, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 3955 Harrison Blvd Ste U5, Ogden, UT 84403
Phone: 801-627-1363    Fax: 801-627-4744
Mr. Stewart E Barlow, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3955 Harrison Blvd, Suite U6, Ogden, UT 84403
Phone: 801-621-0350    Fax: 801-621-0357

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