Mr Jeffrey Allen Siebert, APRN in Gainesville, GA

Mr Jeffrey Allen Siebert, APRN is a medicare enrolled "Nurse Practitioner - Neonatal" in Gainesville, Georgia. His current practice location is 743 Spring St Ne, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 535-3611.

Mr Jeffrey Allen Siebert is licensed to practice in Texas (license number 778279) 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 1114255593.

Contact Information

	Mr Jeffrey Allen Siebert, APRN
	743 Spring St Ne, Gainesville, GA 30501-3715
	(770) 535-3611
	(770) 535-7092

Map and Direction

Provider's Profile

Full Name	Mr Jeffrey Allen Siebert
Gender	Male
Speciality	Nurse Practitioner - Neonatal
Location	743 Spring St Ne, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114255593
Provider Enumeration Date: 11/24/2009
Last Update Date: 08/08/2022

Medicare PECOS Information:

PECOS PAC ID: 2769883446
Enrollment ID: I20210701002439

Medical Identifiers

Medical identifiers for Mr Jeffrey Allen Siebert such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114255593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	778279 (Texas)	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. Mr Jeffrey Allen Siebert allows following entities to bill medicare on his behalf.

Entity Name	The Longstreet Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521

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. Mr Jeffrey Allen Siebert 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
Mr Jeffrey Allen Siebert, APRN Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122	Mr Jeffrey Allen Siebert, APRN 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 535-3611

Reviews and Comments

Nurse Practitioner Nurses in Gainesville, GA

Mrs. Nancy Fletcher Mccall, APRN-BC-CNSPMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4375 Spainhill Road, Gainesville, GA 30504 Phone: 770-654-4599
Shelley Charmaine Martin, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501 Phone: 770-536-9864 Fax: 770-297-5025
Anela D Pearson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-534-2020 Fax: 770-534-8025
Terri Penna Kemmerer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501 Phone: 770-536-9864 Fax: 770-297-5025
Bryan Scott Engel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277
Laura J Banner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 Phone: 770-219-6520
Molly Bruce, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277

Mr Jeffrey Allen Siebert, APRN - Medicare Nurse Practitioner in Gainesville, GA