Siena Tice, is a medicare enrolled "Hospitalist" in New Haven, Connecticut. Her current practice location is
20 York St, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 688-4242.
Siena Tice is licensed to practice in New Mexico (license number PA2022-0081) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568124253.
Provider's Profile
Full Name | Siena Tice |
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Gender | Female |
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Speciality | Hospitalist |
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Location | 20 York St, New Haven, Connecticut |
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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: 1568124253
- Provider Enumeration Date: 10/10/2021
- Last Update Date: 10/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305216151
- Enrollment ID: I20230112000609
Medical Identifiers
Medical identifiers for Siena Tice such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568124253 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA2022-0081 (New Mexico) | Secondary |
208M00000X | Hospitalist | PA2022-0081 (New Mexico) | 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. Siena Tice 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 |
Siena Tice, 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310 Ph: (505) 272-1476 | Siena Tice, 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242 |
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