Sara Marie Siebert, OD is a medicare enrolled "Optometrist" provider in Beardstown, Illinois. She went to University Of Missouri St Louis - School Of Optometry and graduated in 2018 and has 6 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Superior Performance Eye Care Services Inc and her current practice location is
106 E Main St, Beardstown, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 323-1146.
Sara Marie Siebert is licensed to practice in Illinois (license number 046011220) 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 1841778115.
Healthcare Provider's Profile
Full Name | Sara Marie Siebert |
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Gender | Female |
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Speciality | Optometry |
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Experience | 6 Years |
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Location | 106 E Main St, Beardstown, Illinois |
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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:
- Sara Marie Siebert attended and graduated from University Of Missouri St Louis - School Of Optometry in 2018
NPI Data:
- NPI Number: 1841778115
- Provider Enumeration Date: 07/30/2018
- Last Update Date: 07/30/2018
Medicare PECOS Information:
- PECOS PAC ID: 8325398167
- Enrollment ID: I20180829001438
Medical Identifiers
Medical identifiers for Sara Marie Siebert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841778115 | NPI | - | NPPES |
046011220 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 046011220 (Illinois) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Superior Performance Eye Care Services Inc | 4880736180 | 2 |
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. Sara Marie Siebert allows following entities to bill medicare on her behalf.
Provider Name | Prairie Eye Center, Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1447222864 PECOS PAC ID: 6507779824 Enrollment ID: O20031111000811 |
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Provider Name | Superior Performance Eye Care Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1003146705 PECOS PAC ID: 4880736180 Enrollment ID: O20100126000023 |
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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. Sara Marie Siebert 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 |
Sara Marie Siebert, OD 2020 W Iles Ave, Springfield, IL 62704-7015 Ph: (217) 698-3030 | Sara Marie Siebert, OD 106 E Main St, Beardstown, IL 62618-1241 Ph: (217) 323-1146 |
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