Mark Leon Siebe, PA-C in Fort Campbell, KY - Medicare Family Medicine

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.

Contact Information

	Mark Leon Siebe, PA-C
	Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5318
	(270) 798-8727
	Not Available

Provider's Profile

Full Name	Mark Leon Siebe
Gender	Male
Speciality	Family Medicine
Location	Blanchfield Army Community Hospital, Fort Campbell, Kentucky
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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Mark Leon Siebe, PA-C - Medicare Family Medicine in Fort Campbell, KY