Dr Derrick Robson Siebert, MD | |
333 Pine Ridge Blvd, Wausau, WI 54401-4120 | |
(715) 847-2283 | |
Not Available |
Full Name | Dr Derrick Robson Siebert |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 16 Years |
Location | 333 Pine Ridge Blvd, Wausau, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063674224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 61877 - 20 (Wisconsin) | Primary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 61877 - 20 (Wisconsin) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Aspirus Wausau Hospital | Wausau, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Associates Of Wausau, Sc | 7618869587 | 17 |
Entity Name | Radiology Associates Of Wausau, Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588679450 PECOS PAC ID: 7618869587 Enrollment ID: O20040325001593 |
Mailing Address | Practice Location Address |
---|---|
Dr Derrick Robson Siebert, MD Po Box 1324, Wausau, WI 54402-1324 Ph: (414) 559-1273 | Dr Derrick Robson Siebert, MD 333 Pine Ridge Blvd, Wausau, WI 54401-4120 Ph: (715) 847-2283 |
Dr. Philip Richard Albert, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2705 Rib Mountain Way, Wausau, WI 54401 Phone: 715-302-0130 Fax: 715-842-4058 | |
Sarah S Nielsen, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2727 Plaza Dr, Wausau, WI 54401 Phone: 715-847-3000 | |
James S Collison, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3200 Westhill Dr, Suite 210, Wausau, WI 54401 Phone: 715-847-2020 Fax: 715-847-0020 | |
Craig A Hackworth, MD Radiology Medicare: Medicare Enrolled Practice Location: 3200 Westhill Dr, Suite 210, Wausau, WI 54401 Phone: 715-847-2020 Fax: 715-847-0020 | |
Vinay D Luthra, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3200 Westhill Dr Ste 210, Wausau, WI 54401 Phone: 715-847-2020 Fax: 715-847-0020 | |
Donald M Nowinski Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3200 Westhill Dr, Suite 210, Wausau, WI 54401 Phone: 715-847-2020 Fax: 715-847-0020 |