Jan K Siebersma, MD | |
745 Buena Vista Dr, Lander, WY 82520-3431 | |
(307) 332-2941 | |
(307) 332-1920 |
Full Name | Jan K Siebersma |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 42 Years |
Location | 745 Buena Vista Dr, Lander, Wyoming |
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 |
---|---|---|---|
1952303216 | NPI | - | NPPES |
NM009818 | Other | NM | BCBS |
25802 | Other | NM | PRES |
5275478 | Other | NM | LOVELACE |
F6662 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VG0400X | Obstetrics & Gynecology - Gynecology | 92-345 (New Mexico) | Secondary |
207V00000X | Obstetrics & Gynecology | 8076A (Wyoming) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lander Medical Clinic Pc | 1355323940 | 22 |
Entity Name | Lander Valley Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215971510 PECOS PAC ID: 5597657080 Enrollment ID: O20040329000810 |
Entity Name | Lander Medical Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932299690 PECOS PAC ID: 1355323940 Enrollment ID: O20040607000680 |
Mailing Address | Practice Location Address |
---|---|
Jan K Siebersma, MD 745 Buena Vista Dr, Lander, WY 82520-3431 Ph: (307) 332-2941 | Jan K Siebersma, MD 745 Buena Vista Dr, Lander, WY 82520-3431 Ph: (307) 332-2941 |
Dr. Ken V Holt, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 125 Wyoming St, Lander, WY 82520 Phone: 307-206-1330 Fax: 307-206-1331 | |
Dr. James Clayton Brubaker, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-2068 | |
Thomas E Dunaway, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 535 E Main St Ste A, Lander, WY 82520 Phone: 307-335-7720 Fax: 307-335-7723 | |
Ali Sue Haines Weiss, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1320 Bishop Randall Dr, Lander, WY 82520 Phone: 307-332-4420 | |
Dr. Karla Lee Wagner, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-2068 |