Mark Leon Siebe, PA-C is a medicare enrolled "Family Medicine" in Fort Campbell, Kentucky. His current practice location is
Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 798-8727.
Mark Leon Siebe is licensed to practice in Tennessee (license number 3649) 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 1053801886.
Provider's Profile
Full Name | Mark Leon Siebe |
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Gender | Male |
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Speciality | Family Medicine |
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Location | Blanchfield Army Community Hospital, Fort Campbell, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053801886
- Provider Enumeration Date: 05/17/2018
- Last Update Date: 08/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 3072854033
- Enrollment ID: I20190401002524
Medical Identifiers
Medical identifiers for Mark Leon Siebe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053801886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | 3649 (Tennessee) | Primary |
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. Mark Leon Siebe 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 |
Mark Leon Siebe, PA-C 1046 Weston Ct, Brentwood, TN 37027-2404 Ph: (615) 630-2250 | Mark Leon Siebe, PA-C Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8727 |
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