Dr Lisa H Siddall, DDS is a medicare enrolled "Dentist - General Practice" provider in Leland, Michigan. Her current practice location is
407 South Main, Leland, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 256-9142.
Dr Lisa H Siddall is licensed to practice in Michigan (license number 2901016320) 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 1174725220.
Healthcare Provider's Profile
Full Name | Dr Lisa H Siddall |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 407 South Main, Leland, Michigan |
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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: 1174725220
- Provider Enumeration Date: 06/01/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6406169085
- Enrollment ID: I20150727000287
Medical Identifiers
Medical identifiers for Dr Lisa H Siddall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174725220 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2901016320 (Michigan) | Primary |
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. Dr Lisa H Siddall 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 |
Dr Lisa H Siddall, DDS Po Box 1133, Leland, MI 49654-1133 Ph: (231) 256-9142 | Dr Lisa H Siddall, DDS 407 South Main, Leland, MI 49654 Ph: (231) 256-9142 |
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