Mark Leon Siebe, PA-C is a medicare enrolled "Family Medicine" in Fort Campbell, Kentucky. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Southeast Alaska Regional Health Consortium and his current practice location is
Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 798-8727.
Mark Leon Siebe is licensed to practice in Tennessee (license number 3649) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053801886.
Provider's Profile
| Full Name | Mark Leon Siebe |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | Blanchfield Army Community Hospital, Fort Campbell, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mark Leon Siebe graduated from nursing school in 2018
NPI Data:
- NPI Number: 1053801886
- Provider Enumeration Date: 05/17/2018
- Last Update Date: 08/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 3072854033
- Enrollment ID: I20241125000280
Medical Identifiers
Medical identifiers for Mark Leon Siebe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053801886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | 3649 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southeast Alaska Regional Health Consortium | 1456265362 | 298 |
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. Mark Leon Siebe 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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Mark Leon Siebe, PA-C
1046 Weston Ct,
Brentwood, TN 37027-2404
Ph: (615) 630-2250 | Mark Leon Siebe, PA-C
Blanchfield Army Community Hospital, 650 Joel Dr,
Fort Campbell, KY 42223-5318
Ph: (270) 798-8727 |
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