Siqi Ma, DO in Clearlake, CA - Medicare Family Medicine

Siqi Ma, DO is a medicare enrolled "Family Medicine" physician in Clearlake, California. Her current practice location is 15230 Lakeshore Dr, Clearlake, California. You can reach out to her office (for appointments etc.) via phone at (707) 995-4500.

Siqi Ma is licensed to practice in California (license number 20A21190) 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 1659991933.

Contact Information

	Siqi Ma, DO
	15230 Lakeshore Dr, Clearlake, CA 95422-8107
	(707) 995-4500
	Not Available

Map and Direction

Physician's Profile

Full Name	Siqi Ma
Gender	Female
Speciality	Family Medicine
Location	15230 Lakeshore Dr, Clearlake, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659991933
Provider Enumeration Date: 04/16/2020
Last Update Date: 10/20/2023

Medicare PECOS Information:

PECOS PAC ID: 7315392024
Enrollment ID: I20231016003365

Medical Identifiers

Medical identifiers for Siqi Ma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659991933	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	7451 (Oklahoma)	Secondary
207Q00000X	Family Medicine	20A21190 (California)	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. Siqi Ma allows following entities to bill medicare on her behalf.

Entity Name	Adventist Health Clearlake Hospital Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573

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. Siqi Ma 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
Siqi Ma, DO 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: () -	Siqi Ma, DO 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: (707) 995-4500

Reviews and Comments

Family Medicine Doctors in Clearlake, CA

Gail Marquette, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-994-2401
Dr. Jerry Edward Douglas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15322 Lakeshore Dr, Suite 202, Clearlake, CA 95422 Phone: 707-994-0303 Fax: 707-995-9447
Sonja Derose, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500
Wolfgang Schug, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-994-2401
Dr. Mark J Freeman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15322 Lakeshore Dr, Ste 101, Clearlake, CA 95422 Phone: 707-995-1362 Fax: 707-995-7057
Dr. John Alden Weeks, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15230 Lakeshore Dr, Suite 101, Clearlake, CA 95422 Phone: 707-994-7377 Fax: 707-994-9456

Siqi Ma, DO - Medicare Family Medicine in Clearlake, CA