David Conrad Siebert, MD - Medicare Internal Medicine in Jacksonville, FL

David Conrad Siebert, MD is a medicare enrolled "Internal Medicine" physician in Jacksonville, Florida. He went to Wayne State University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice South Sound Inpatient Physicians Pllc and his current practice location is 1200 Riverplace Blvd, 620, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 396-6620.

David Conrad Siebert is licensed to practice in Florida (license number ME88389) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780647057.

Contact Information

David Conrad Siebert, MD
1200 Riverplace Blvd, 620,
Jacksonville, FL 32207-9046
(904) 396-6620
(904) 396-6528

Map and Direction




Physician's Profile

Full NameDavid Conrad Siebert
GenderMale
SpecialityInternal Medicine
Experience25 Years
Location1200 Riverplace Blvd, Jacksonville, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Conrad Siebert attended and graduated from Wayne State University School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1780647057
  • Provider Enumeration Date: 04/08/2006
  • Last Update Date: 07/16/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3678561966
  • Enrollment ID: I20220627000953

Medical Identifiers

Medical identifiers for David Conrad Siebert such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780647057NPI-NPPES
269161200MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ME88389 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Multicare Covington Medical CenterCovington, WAHospital
Multicare Auburn Medical CenterAuburn, WAHospital
Multicare Good Samaritan HospitalPuyallup, WAHospital
Tacoma General Allenmore HospitalTacoma, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Sound Inpatient Physicians Pllc5991618738302

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. David Conrad Siebert allows following entities to bill medicare on his behalf.
Entity NameSouth Sound Inpatient Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023285756
PECOS PAC ID: 5991618738
Enrollment ID: O20031107000668
Entity NameCogent Healthcare Of Washington, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430522
PECOS PAC ID: 2062306350
Enrollment ID: O20040209000839

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. David Conrad 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 AddressPractice Location Address
David Conrad Siebert, MD
1200 Riverplace Blvd, 620,
Jacksonville, FL 32207-9046

Ph: (904) 396-6620
David Conrad Siebert, MD
1200 Riverplace Blvd, 620,
Jacksonville, FL 32207-9046

Ph: (904) 396-6620

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.