Tatum Siebert, MED is a medicare enrolled "Psychologist - Clinical" provider in Boston, Massachusetts. She graduated from healthcare school in 2016 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Meditelecare Of Massachusetts, Pllc, Medoptions Of New Hampshire Llc, Medoptions Of Vermont Llc, Medoptions Of Maine Llc and her current practice location is
84 State St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(860) 788-6404.
Tatum Siebert is licensed to practice in Massachusetts (license number 10715) 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 1528389566.
Healthcare Provider's Profile
| Full Name | Tatum Siebert |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 9 Years |
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| Location | 84 State St, Boston, Massachusetts |
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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. |
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Medical Education and Training:
- Tatum Siebert graduated from medical school in 2016
NPI Data:
- NPI Number: 1528389566
- Provider Enumeration Date: 06/14/2010
- Last Update Date: 08/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527462886
- Enrollment ID: I20210814000121
Medical Identifiers
Medical identifiers for Tatum Siebert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528389566 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 10715 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Meditelecare Of Massachusetts, Pllc | 8921417064 | 11 |
| Medoptions Of New Hampshire Llc | 0345534780 | 11 |
| Medoptions Of Vermont Llc | 0547541260 | 3 |
| Medoptions Of Maine Llc | 8820374796 | 7 |
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. Tatum Siebert allows following entities to bill medicare on her behalf.
| Entity Name | Meditelecare Of Massachusetts, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003496506
PECOS PAC ID: 8921417064
Enrollment ID: O20210503000425 |
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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. Tatum 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 |
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Tatum Siebert, MED
Po Box 1595,
Middletown, CT 06457-8095
Ph: (860) 788-6404 | Tatum Siebert, MED
84 State St,
Boston, MA 02109-2202
Ph: (860) 788-6404 |
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