| Michelle Lynn Siebrecht, PA | |
|
700 E 2nd St, Suite 2, Ida Grove, IA 51445-1601 | |
| (712) 364-2514 | |
| (712) 364-4430 |
| Full Name | Michelle Lynn Siebrecht |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 700 E 2nd St, Ida Grove, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346351970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 001714 (Iowa) | Primary |
| Entity Name | Trinity Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073594156 PECOS PAC ID: 7315858529 Enrollment ID: O20031204000921 |
| Entity Name | Clarinda Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629196241 PECOS PAC ID: 4587573993 Enrollment ID: O20031205000207 |
| Entity Name | Humboldt County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043395247 PECOS PAC ID: 8921997867 Enrollment ID: O20040310001518 |
| Entity Name | Humboldt County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1194702977 PECOS PAC ID: 8921997867 Enrollment ID: O20061104000355 |
| Entity Name | Unitypoint Health - Marshalltown |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164957593 PECOS PAC ID: 0941587307 Enrollment ID: O20170608002304 |
| Entity Name | Woodbury Emergency Group, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447813316 PECOS PAC ID: 2961737317 Enrollment ID: O20190708002736 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Lynn Siebrecht, PA 700 E 2nd St, Suite 2, Ida Grove, IA 51445-1601 Ph: (712) 364-2514 | Michelle Lynn Siebrecht, PA 700 E 2nd St, Suite 2, Ida Grove, IA 51445-1601 Ph: (712) 364-2514 |