Dr Bruce Joseph Siedlecki, MD is a
Obstetrics & Gynecology physician based in Mtn. Home, Idaho. Dr Bruce Joseph Siedlecki is licensed to practice in Tennessee (license number MD25309) and his current practice location is Mtn.home Aif Force Base, Mdos, Mtn. Home, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 828-7567.
NPI number for Dr Bruce Joseph Siedlecki is 1285628156 and his current mailing address is 1050 Nw Bluegrass Cir, Mtn Home, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285628156.
Physician's Profile
| Full Name | Dr Bruce Joseph Siedlecki |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | Mtn.home Aif Force Base, Mtn. Home, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285628156
- Provider Enumeration Date: 09/07/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Bruce Joseph Siedlecki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285628156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | MD25309 (Tennessee) | 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 Bruce Joseph Siedlecki is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bruce Joseph Siedlecki, MD
1050 Nw Bluegrass Cir,
Mtn Home, ID 83647-1544
Ph: (208) 828-7567 | Dr Bruce Joseph Siedlecki, MD
Mtn.home Aif Force Base, Mdos,
Mtn. Home, ID 83647
Ph: (208) 828-7567 |
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