Dr Buddy Roger Siebenlist, MD is a
Radiology - Diagnostic Radiology physician based in Waskom, Texas. Dr Buddy Roger Siebenlist is licensed to practice in Texas (license number H4076) and his current practice location is 757 Bellview Rd, Waskom, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 935-2800.
NPI number for Dr Buddy Roger Siebenlist is 1851622393 and his current mailing address is Po Box 1857, Waskom, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851622393.
Physician's Profile
| Full Name | Dr Buddy Roger Siebenlist |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 757 Bellview Rd, Waskom, Texas |
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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: 1851622393
- Provider Enumeration Date: 01/22/2010
- Last Update Date: 10/23/2011
Medical Identifiers
Medical identifiers for Dr Buddy Roger Siebenlist such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851622393 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | H4076 (Texas) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 010260 (Louisiana) | Secondary |
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 Buddy Roger Siebenlist 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 Buddy Roger Siebenlist, MD
Po Box 1857,
Waskom, TX 75692-1857
Ph: (903) 935-2800 | Dr Buddy Roger Siebenlist, MD
757 Bellview Rd,
Waskom, TX 75692-3425
Ph: (903) 935-2800 |
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