Carly Mae Siebels, RD/LD in Spencer, IA - Medicare Dietitian, Registered Provider

Carly Mae Siebels, RD/LD is a medicare enrolled "Dietitian, Registered" provider in Spencer, Iowa. Her current practice location is 1200 1st Ave E, Spencer, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 264-6605.

Carly Mae Siebels is licensed to practice in Iowa (license number 002170) 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 1578993747.

Contact Information

	Carly Mae Siebels, RD/LD
	1200 1st Ave E, Spencer, IA 51301-4330
	(712) 264-6605
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Mae Siebels
Gender	Female
Speciality	Dietitian, Registered
Location	1200 1st Ave E, Spencer, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578993747
Provider Enumeration Date: 11/25/2013
Last Update Date: 11/25/2013

Medicare PECOS Information:

PECOS PAC ID: 4284863895
Enrollment ID: I20240208000599

Medical Identifiers

Medical identifiers for Carly Mae Siebels such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578993747	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	002170 (Iowa)	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. Carly Mae Siebels allows following entities to bill medicare on her behalf.

Provider Name	Nourish, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471

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. Carly Mae Siebels 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
Carly Mae Siebels, RD/LD 1200 1st Ave E, Spencer, IA 51301-4330 Ph: (712) 264-6605	Carly Mae Siebels, RD/LD 1200 1st Ave E, Spencer, IA 51301-4330 Ph: (712) 264-6605

Reviews and Comments

Dietitian, Registered in Spencer, IA

Lois Tacke Stillman, MNT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 1st Ave E, Spencer, IA 51301 Phone: 712-264-6198 Fax: 712-264-6462
Mary Helene Meloy, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 1st Ave E, Spencer, IA 51301 Phone: 712-264-6198
Jennifer Lynn Ransom, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 1st Ave E, Spencer, IA 51301 Phone: 712-264-6198
Mrs. Greta Ann Farley, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 1st Ave E, Spencer, IA 51301 Phone: 712-264-6505
Ms. Lindsey Marie Everett, RDLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 1st Ave E, Spencer, IA 51301 Phone: 712-264-6605 Fax: 712-264-6656
Carla May Van Holsteijn, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 1st Ave E, Spencer, IA 51301 Phone: 712-264-6198

Carly Mae Siebels, RD/LD - Medicare Dietitian in Spencer, IA