Lucas Seibolt, MD in Valdosta, GA - Medicare Cardiovascular Disease (cardiology)

Lucas Seibolt, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Valdosta, Georgia. He graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Sgmc Physician Network Inc and his current practice location is 2409 N Patterson St Ste 310, Valdosta, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 433-8160.

Lucas Seibolt is licensed to practice in Georgia (license number 88599) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588074140.

Contact Information

	Lucas Seibolt, MD
	2409 N Patterson St Ste 310, Valdosta, GA 31602-2512
	(229) 433-8160
	(229) 244-2707

Map and Direction

Physician's Profile

Full Name	Lucas Seibolt
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	11 Years
Location	2409 N Patterson St Ste 310, Valdosta, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lucas Seibolt graduated from medical school in 2014

NPI Data:

NPI Number: 1588074140
Provider Enumeration Date: 05/05/2014
Last Update Date: 10/26/2022

Medicare PECOS Information:

PECOS PAC ID: 6204100563
Enrollment ID: I20210914003144

Medical Identifiers

Medical identifiers for Lucas Seibolt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588074140	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	R74418 (Arizona)	Secondary
207R00000X	Internal Medicine	54189 (Arizona)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	01083408A (Indiana)	Secondary
207UN0901X	Nuclear Medicine - Nuclear Cardiology	252293 (Arizona)	Secondary
2471C3401X	Radiologic Technologist - Computed Tomography	252293 (Arizona)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	88599 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health Of Valdosta	Valdosta, GA	Home health agency
South Georgia Medical Center	Valdosta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sgmc Physician Network Inc	4082036843	112

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. Lucas Seibolt allows following entities to bill medicare on his behalf.

Entity Name	Sgmc Physician Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417597170 PECOS PAC ID: 4082036843 Enrollment ID: O20201015000629

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. Lucas Seibolt 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 Address	Practice Location Address
Lucas Seibolt, MD 2409 N Patterson St Ste 310, Valdosta, GA 31602-2512 Ph: (229) 433-8160	Lucas Seibolt, MD 2409 N Patterson St Ste 310, Valdosta, GA 31602-2512 Ph: (229) 433-8160

Reviews and Comments

Internal Medicine Doctors in Valdosta, GA

Dr. Asma Yasin, MBBS Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4178
Dr. Nikolay Gogin, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4131
Dr. Felix G Valdez, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4501 Fax: 229-259-4502
Dr. Moriamo Adedoyin Fashugba, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-433-1000
Dr. Gerald S Light, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3564b Northcrossing Cir, Valdosta, GA 31602 Phone: 229-247-1414 Fax: 229-247-1978
Dr. William C Tidmore Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2418 N Oak St, Valdosta, GA 31602 Phone: 229-219-0247 Fax: 229-219-0837
Dr. Michael Heron, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4178

Lucas Seibolt, MD - Medicare Cardiovascular Disease (cardiology) in Valdosta, GA