| Jan K Siebersma, MD | |
|
745 Buena Vista Dr, Lander, WY 82520-3431 | |
| (307) 332-2941 | |
| (307) 332-1920 |
| Full Name | Jan K Siebersma |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 42 Years |
| Location | 745 Buena Vista Dr, Lander, Wyoming |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952303216 | NPI | - | NPPES |
| NM009818 | Other | NM | BCBS |
| 25802 | Other | NM | PRES |
| 5275478 | Other | NM | LOVELACE |
| F6662 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 92-345 (New Mexico) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 8076A (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sagewest Health Care | Riverton, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lander Medical Clinic Pc | 1355323940 | 18 |
| Entity Name | Washakie Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255368593 PECOS PAC ID: 2466369301 Enrollment ID: O20040312000646 |
| Entity Name | Lander Valley Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215971510 PECOS PAC ID: 5597657080 Enrollment ID: O20040329000810 |
| Entity Name | Lander Medical Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932299690 PECOS PAC ID: 1355323940 Enrollment ID: O20040607000680 |
| Entity Name | Banner Health Physicians West Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063778728 PECOS PAC ID: 5092978866 Enrollment ID: O20120607000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Jan K Siebersma, MD 745 Buena Vista Dr, Lander, WY 82520-3431 Ph: (307) 332-2941 | Jan K Siebersma, MD 745 Buena Vista Dr, Lander, WY 82520-3431 Ph: (307) 332-2941 |
Dr. Ken V Holt, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 125 Wyoming St, Lander, WY 82520 Phone: 307-206-1330 Fax: 307-206-1331 | |
Dr. James Clayton Brubaker, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-2068 | |
Thomas E Dunaway, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 535 E Main St Ste A, Lander, WY 82520 Phone: 307-335-7720 Fax: 307-335-7723 | |
Ali Sue Haines Weiss, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1320 Bishop Randall Dr, Lander, WY 82520 Phone: 307-332-4420 | |
Dr. Karla Lee Wagner, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-2068 |