Eric James Siebenmorgen, RDN is a medicare enrolled "Dietitian, Registered" provider in Paris, Arkansas. His current practice location is
2908 W Walnut St, Paris, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 518-2069.
Eric James Siebenmorgen is licensed to practice in Arkansas (license number 86253454) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023789013.
Healthcare Provider's Profile
Full Name | Eric James Siebenmorgen |
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Gender | Male |
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Speciality | Dietitian, Registered |
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Location | 2908 W Walnut St, Paris, Arkansas |
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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: 1023789013
- Provider Enumeration Date: 09/21/2021
- Last Update Date: 11/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880065085
- Enrollment ID: I20230126001891
Medical Identifiers
Medical identifiers for Eric James Siebenmorgen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023789013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 86253454 (Arkansas) | 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. Eric James Siebenmorgen allows following entities to bill medicare on his behalf.
Provider Name | Arkansas Heart Hospital Rural Health Services, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1548553811 PECOS PAC ID: 6204004815 Enrollment ID: O20110727000090 |
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Provider Name | Arkansas Heart Hospital Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1558653212 PECOS PAC ID: 6002838653 Enrollment ID: O20110729000327 |
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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. Eric James Siebenmorgen 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 |
Eric James Siebenmorgen, RDN 2908 W Walnut St, Paris, AR 72855-3017 Ph: (479) 518-2069 | Eric James Siebenmorgen, RDN 2908 W Walnut St, Paris, AR 72855-3017 Ph: (479) 518-2069 |
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