| Sara Marie Siebert, OD | |
|
195 S 36th St Ste 109, Quincy, IL 62301-5801 | |
| (217) 224-7732 | |
| (217) 224-4468 |
| Full Name | Sara Marie Siebert |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 7 Years |
| Location | 195 S 36th St Ste 109, Quincy, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841778115 | NPI | - | NPPES |
| 046011220 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046011220 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Superior Performance Eye Care Services Inc | 4880736180 | 2 |
| Provider Name | Prairie Eye Center, Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447222864 PECOS PAC ID: 6507779824 Enrollment ID: O20031111000811 |
| Provider Name | Superior Performance Eye Care Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003146705 PECOS PAC ID: 4880736180 Enrollment ID: O20100126000023 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Marie Siebert, OD 195 S 36th St Ste 109, Quincy, IL 62301-5801 Ph: (217) 224-7732 | Sara Marie Siebert, OD 195 S 36th St Ste 109, Quincy, IL 62301-5801 Ph: (217) 224-7732 |
Superior Performance Eye Care Services, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 195 S 36th St, Quincy, IL 62301 Phone: 217-224-7732 | |
Dr. Mervi Hannele Leyendeckers, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 926 Broadway St, Quincy, IL 62301 Phone: 217-222-6888 Fax: 217-222-6975 | |
Dr. Kurtis M. Carlson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4929 Oak Street, Quincy, IL 62305 Phone: 217-222-2020 Fax: 217-223-9582 | |
Bobak Rafati, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3131 Broadway, Quincy, IL 62301 Phone: 217-223-7900 Fax: 217-223-7999 | |
Site Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3236 Broadway St, Quincy, IL 62301 Phone: 217-228-2060 Fax: 217-228-2066 | |
Dr. Jason Michael Kvitle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3325 Maine St, Suite 1, Quincy, IL 62301 Phone: 217-231-3937 Fax: 217-231-3940 | |
Mervi H Leyendeckers, O.d., P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 926 Broadway St, Quincy, IL 62301 Phone: 217-222-6888 Fax: 217-222-6975 |