Lori E Sieboldt, MD in Evansville, IN - Medicare Emergency Medicine

Lori E Sieboldt, MD is a medicare enrolled "Emergency Medicine" physician in Evansville, Indiana. Her current practice location is 600 Mary St, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 450-3405.

Lori E Sieboldt is licensed to practice in Indiana (license number 01059205A) 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 1053409623.

Contact Information

	Lori E Sieboldt, MD
	600 Mary St, Evansville, IN 47747-0001
	(812) 450-3405
	(812) 450-3099

Map and Direction

Physician's Profile

Full Name	Lori E Sieboldt
Gender	Female
Speciality	Emergency Medicine
Location	600 Mary St, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053409623
Provider Enumeration Date: 10/10/2006
Last Update Date: 01/16/2013

Medicare PECOS Information:

PECOS PAC ID: 5698668101
Enrollment ID: I20041019001034

Medical Identifiers

Medical identifiers for Lori E Sieboldt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053409623	NPI	-	NPPES
000000381085	Other	IN	BCBS - GATEWAY
097292	Other	IN	HAMP PIN
7197383	Other	IN	AETNA PIN
000000333639	Other	IN	BCBS - MARY STREET
200494470	Medicaid	IN
2244686	Other	IN	FIRST HEALTH PIN
64082910	Medicaid	KY
681577	Other	IN	HEALTHLINK PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	01059205A (Indiana)	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. Lori E Sieboldt allows following entities to bill medicare on her behalf.

Entity Name	Deaconess Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145

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. Lori E Sieboldt 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
Lori E Sieboldt, MD Po Box 3407, Evansville, IN 47733-3407 Ph: (812) 450-3405	Lori E Sieboldt, MD 600 Mary St, Evansville, IN 47747-0001 Ph: (812) 450-3405

Reviews and Comments

Emergency Medicine Doctors in Evansville, IN

Dr. Matthew Christopher Gilbert, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-3405 Fax: 812-450-3099
Sonia Denise Winslett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 207 S Lincoln Park Dr, Apt D, Evansville, IN 47714 Phone: 507-254-8228
Audrey Ann Bickel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-3405
Lindsay Yoder, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-3405
Michael Melbardis, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-5000
Brandon T Charlton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47747 Phone: 812-450-3405 Fax: 812-450-3099

Lori E Sieboldt, MD - Medicare Emergency Medicine in Evansville, IN