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MARK LEON SIEBE PA-C
NPI 1053801886
Family Medicine in Fort Campbell, KY

Active since May 17, 2018PECOS EnrolledAccepts Medicare Assignment
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-8727 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 28, 2020, Dec 2, 2018, May 17, 2018 (3 updates tracked since 2018).

About Mark Leon Siebe Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK LEON SIEBE PA-C (NPI 1053801886) is an individual family medicine provider in Fort Campbell, Kentucky, licensed in Tennessee (3649) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053801886
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK LEON SIEBECredential: PA-C
Location AddressBLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRFort Campbell, KY 42223-5318
Mailing Address1046 Weston CtBrentwood, TN 37027-2404 · (615) 630-2250 · Fax (615) 630-2250
Phone(270) 798-8727
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 17, 2018
Last NPPES UpdateAugust 28, 20203 updates tracked since enumeration
NPPES CertifiedAugust 24, 2020
✔ NPI 1053801886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 3649
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPhysician AssistantTaxonomy 363A00000X
BLANCHFIELD ARMY COMMUNITY HOSPITAL, Fort Campbell, KY 42223
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1717 Shenandoah DrBrentwood, TN 37027-6023 · Phone (615) 630-2250 · Fax (615) 630-2250
Location 22201 Murphy Ave Ste 204Nashville, TN 37203-1952 · Phone (615) 321-3511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Leon Siebe Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072854033
PECOS Enrollment IDI20190401002524, I20241125000280
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORRAINE FELICE MARTINEZ D.O.
Obstetrics & Gynecology
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8460
MR. TERRY G DAVIS PA
Physician Assistant (Surgical)
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DR.
FORT CAMPBELL, KY 42223
Christian County (270) 798-8372
MS. OPAL M GALLOWAY LCSW
Social Worker (Clinical)
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8372
MR. PHELPS FREDERIC POND JR. RN, CNS
Registered Nurse (Community Health)
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DR.
FORT CAMPBELL, KY 42223
Christian County (270) 798-8372
MRS. CARLETTA LEMONIA MCDOWELL PSYCHOLOGIST
Psychologist
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE
FORT CAMPBELL, KY 42223
Christian County (270) 798-8372
DR. KAREN LYNN NIXON MD
Ophthalmology
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE
FT. CAMPBELL, TN 42223
Christian County (270) 798-8372
BRUCE JAMES BEECHER PA-C
Physician Assistant (Medical)
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE
FORT CAMPBELL, KY 42223
Christian County (270) 798-8372
MRS. SANDRA KAY CANNON LPC
Counselor (Professional)
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE
FT CAMPBELL, KY 42223
Christian County (270) 798-8372

Frequently Asked Questions

What is Mark Siebe's NPI number?

The NPI number assigned to this healthcare provider is 1053801886, enumerated as an "individual" on May 17, 2018.

Where is the provider located?

The provider is located at BLANCHFIELD ARMY COMMUNITY HOSPITAL 650 JOEL DR FORT CAMPBELL, KY 42223 and the phone number is (270) 798-8727.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does Mark Siebe accept?

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.