Siena Tice, is a medicare enrolled "Hospitalist" in New Haven, Connecticut. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Unm Hospital and her current practice location is
20 York St, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 688-4242.
Siena Tice is licensed to practice in New Mexico (license number PA2022-0081) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568124253.
Provider's Profile
| Full Name | Siena Tice |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 5 Years |
|---|
| Location | 20 York St, New Haven, Connecticut |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Siena Tice graduated from nursing school in 2021
NPI Data:
- NPI Number: 1568124253
- Provider Enumeration Date: 10/10/2021
- Last Update Date: 10/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305216151
- Enrollment ID: I20230112000609
Medical Identifiers
Medical identifiers for Siena Tice such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568124253 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA2022-0081 (New Mexico) | Secondary |
| 208M00000X | Hospitalist | PA2022-0081 (New Mexico) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
|---|
| Unm Hospital | Albuquerque, NM | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Unm Hospital | 7618889528 | 394 |
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. Siena Tice allows following entities to bill medicare on her behalf.
| Entity Name | UNM Hospital |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1689747552
PECOS PAC ID: 7618889528
Enrollment ID: O20040110000011 |
|---|
| Entity Name | UNM Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1831218627
PECOS PAC ID: 4981795267
Enrollment ID: O20070801000589 |
|---|
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. Siena Tice 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 |
|---|
Siena Tice,
800 Bradbury Dr Se Ste 116,
Albuquerque, NM 87106-4310
Ph: (505) 272-1476 | Siena Tice,
20 York St,
New Haven, CT 06510-3220
Ph: (203) 688-4242 |
Reviews and Comments