Amber Siebold, MA, LPC-IT is a medicare enrolled "Counselor - Mental Health" provider in Galena Park, Texas. Her current practice location is
400 Keene St, Galena Park, Texas. You can reach out to her office (for appointments etc.) via phone at
(832) 548-5000.
Amber Siebold is licensed to practice in Texas (license number 93145) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104577881.
Healthcare Provider's Profile
Full Name | Amber Siebold |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 400 Keene St, Galena Park, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104577881
- Provider Enumeration Date: 01/13/2022
- Last Update Date: 05/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163871070
- Enrollment ID: I20231218000194
Medical Identifiers
Medical identifiers for Amber Siebold such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104577881 | NPI | - | NPPES |
5166 | Other | WI | STATE LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 93145 (Texas) | Primary |
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. Amber Siebold allows following entities to bill medicare on her behalf.
Entity Name | Legacy Community Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679524961 PECOS PAC ID: 7911969092 Enrollment ID: O20110706000516 |
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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. Amber Siebold 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 |
Amber Siebold, MA, LPC-IT Po Box 66308, Houston, TX 77266-6308 Ph: (832) 548-5000 | Amber Siebold, MA, LPC-IT 400 Keene St, Galena Park, TX 77547-3200 Ph: (832) 548-5000 |
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