Peter Damian Sidor, MD - Medicare Pediatrics in Cody, WY

Peter Damian Sidor, MD is a medicare enrolled "Pediatrics" physician in Cody, Wyoming. His current practice location is 1220 Sunshine Ave Ste 101, Cody, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 587-5545.

Peter Damian Sidor is licensed to practice in Wyoming (license number 10301A) 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 1568751014.

Contact Information

Peter Damian Sidor, MD
1220 Sunshine Ave Ste 101,
Cody, WY 82414-4247
(307) 587-5545
Not Available



Physician's Profile

Full NamePeter Damian Sidor
GenderMale
SpecialityPediatrics
Location1220 Sunshine Ave Ste 101, Cody, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568751014
  • Provider Enumeration Date: 04/05/2011
  • Last Update Date: 06/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0840445227
  • Enrollment ID: I20160201000509

Medical Identifiers

Medical identifiers for Peter Damian Sidor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568751014NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 10301A (Wyoming)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. Peter Damian Sidor allows following entities to bill medicare on his behalf.
Entity NameWest Park Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558351536
PECOS PAC ID: 7315855624
Enrollment ID: O20040127000865

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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. Peter Damian Sidor 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
Peter Damian Sidor, MD
1220 Sunshine Ave Ste 101,
Cody, WY 82414-4247

Ph: (307) 587-5545
Peter Damian Sidor, MD
1220 Sunshine Ave Ste 101,
Cody, WY 82414-4247

Ph: (307) 587-5545

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Pediatrics Doctors in Cody, WY

Mr. Charles Edward Jamieson, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1220 Sunshine Ave, Suite 101, Cody, WY 82414
Phone: 307-587-5545    Fax: 307-527-5202

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