Glenn Owen Siegfried, MD - Medicare Emergency Medicine in Fortuna, CA

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Glenn Owen Siegfried, MD is a medicare enrolled "Emergency Medicine" physician in Fortuna, California. His current practice location is 3300 Renner Dr, Fortuna, California. You can reach out to his office (for appointments etc.) via phone at (707) 725-3361.

Glenn Owen Siegfried is licensed to practice in California (license number C42089) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699737304.

Contact Information

Glenn Owen Siegfried, MD
3300 Renner Dr,
Fortuna, CA 95540-3120
(707) 725-3361
Not Available

Map and Direction




Physician's Profile

Full NameGlenn Owen Siegfried
GenderMale
SpecialityEmergency Medicine
Location3300 Renner Dr, Fortuna, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699737304
  • Provider Enumeration Date: 04/06/2006
  • Last Update Date: 10/29/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3678475423
  • Enrollment ID: I20040122001057

Medical Identifiers

Medical identifiers for Glenn Owen Siegfried such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699737304NPI-NPPES
00C420890MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine C42089 (California)Primary

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. Glenn Owen Siegfried allows following entities to bill medicare on his behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameChase Dennis Emergency Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033152350
PECOS PAC ID: 2264345172
Enrollment ID: O20041109001017

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. Glenn Owen Siegfried 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
Glenn Owen Siegfried, MD
Po Box 601,
Bayside, CA 95524-0601

Ph: (707) 822-7743		Glenn Owen Siegfried, MD
3300 Renner Dr,
Fortuna, CA 95540-3120

Ph: (707) 725-3361

Reviews and Comments


Emergency Medicine Doctors in Fortuna, CA

Dr. Eric Ryan Zacharias, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3300 Renner Dr, Fortuna, CA 95540
Phone: 707-725-3611    
Dr. Michael F. Schafle, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 21 Pinecrest Dr, Fortuna, CA 95540
Phone: 707-725-6072    
Dr. Kenneth Robert Stiver, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 555 Paradise Dr, Fortuna, CA 95540
Phone: 707-725-2028    Fax: 707-725-4952

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.