Christa Siebenburgen, MD | |
3533 Southern Blvd, Suite 2100, Kettering, OH 45429-1264 | |
(937) 395-8556 | |
(937) 522-7873 |
Full Name | Christa Siebenburgen |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 14 Years |
Location | 3533 Southern Blvd, Kettering, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114247251 | NPI | - | NPPES |
0165743 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35.128065 (Ohio) | Primary |
2086S0102X | Surgery - Surgical Critical Care | 35.128065 (Ohio) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Kettering Medical Center | Kettering, OH | Hospital |
Greene Memorial Hospital | Xenia, OH | Hospital |
Grandview And Southview Hospitals | Dayton, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kettering Independent Medical Group Inc | 3173710936 | 577 |
Entity Name | Alliance Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
Entity Name | Kettering Independent Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
Mailing Address | Practice Location Address |
---|---|
Christa Siebenburgen, MD 3533 Southern Blvd, Suite 2100, Kettering, OH 45429-1264 Ph: (937) 395-8556 | Christa Siebenburgen, MD 3533 Southern Blvd, Suite 2100, Kettering, OH 45429-1264 Ph: (937) 395-8556 |
Jaspreet Sandhu, Surgery Medicare: Medicare Enrolled Practice Location: 3533 Southern Blvd Ste 2100, Kettering, OH 45429 Phone: 937-435-8663 | |
Dr. Carol Joanne Sawmiller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3533 Southern Blvd, Suite 2250, Kettering, OH 45429 Phone: 937-534-0330 Fax: 937-534-0340 | |
Dr. Ihab O Elhassan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3533 Southern Blvd Ste 2100, Kettering, OH 45429 Phone: 937-395-8556 Fax: 937-395-6376 | |
Ron Michael Johnson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 580 Lincoln Park Blvd, Suite 255, Kettering, OH 45429 Phone: 937-949-8457 Fax: 937-949-8695 | |
Sunishka M Wimalawansa, M.D., M.B.A. Surgery Medicare: Accepting Medicare Assignments Practice Location: 580 Lincoln Park Blvd, Suite 255, Kettering, OH 45429 Phone: 937-949-8457 Fax: 937-949-8695 | |
Dr. Heena P Santry, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3533 Southern Blvd Ste 2100, Kettering, OH 45429 Phone: 937-395-8556 Fax: 937-395-6376 |