Timothy J Siglock, MD is a medicare enrolled "Otolaryngology" physician in Jefferson Valley, New York. His current practice location is
3680 Hill Blvd, Caremount Medical Pc, Jefferson Valley, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 241-1050.
Timothy J Siglock is licensed to practice in New York (license number 165043) 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 1659376036.
Physician's Profile
| Full Name | Timothy J Siglock |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 3680 Hill Blvd, Jefferson Valley, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1659376036
- Provider Enumeration Date: 06/14/2005
- Last Update Date: 05/04/2017
Medicare PECOS Information:
- PECOS PAC ID: 5698847093
- Enrollment ID: I20090408000223
Medical Identifiers
Medical identifiers for Timothy J Siglock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659376036 | NPI | - | NPPES |
| 01052804 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 165043 (New York) | 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. Timothy J Siglock allows following entities to bill medicare on his behalf.
| Entity Name | Optum Medical Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982643003
PECOS PAC ID: 9931013240
Enrollment ID: O20031119000321 |
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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. Timothy J Siglock 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 |
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Timothy J Siglock, MD
110 S Bedford Rd, Caremount Medical Pc,
Mount Kisco, NY 10549-3446
Ph: (914) 241-1050 | Timothy J Siglock, MD
3680 Hill Blvd, Caremount Medical Pc,
Jefferson Valley, NY 10535-1500
Ph: (914) 241-1050 |
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