Dr Ronald D Siegemund, MD | |
445 March Ave, Suite A, Healdsburg, CA 95448-3383 | |
(707) 433-8223 | |
(707) 433-1071 |
Full Name | Dr Ronald D Siegemund |
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Gender | Male |
Speciality | Pediatrics |
Location | 445 March Ave, Healdsburg, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710011366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G079261 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
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Dr Ronald D Siegemund, MD Po Box 854, Cloverdale, CA 95425-0854 Ph: (707) 894-9181 | Dr Ronald D Siegemund, MD 445 March Ave, Suite A, Healdsburg, CA 95448-3383 Ph: (707) 433-8223 |
Guadalupe Nieto Hedrick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 445 March Ave, Suite A, Healdsburg, CA 95448 Phone: 707-433-8223 Fax: 707-431-1071 | |
Damian Marsden, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 445 March Ave, Healdsburg, CA 95448 Phone: 707-433-8223 Fax: 707-433-1071 | |
Seth Ammerman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1381 University St, Healdsburg, CA 95448 Phone: 707-433-5494 Fax: 707-385-2157 |