Lauren Paige Sibeck, MD
Individual provider Active NPI Family Medicine Physician · Grass Lake, MI
NPI 1265995013 · NPPES record last updated Oct 3, 2023
Key facts
- NPI
- 1265995013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301508724 (MI)
- Practice address
- 12369 E Michigan Ave
Grass Lake, MI 49240-9213 - Phone
- (517) 205-4800
- NPI assigned
- Apr 9, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Temple University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- W. a. Foote Memorial Hospital, Inc.
Practice addresses (Care Compare)
12369 E Michigan Ave
Henry Ford Allegiance Family Medicine Gra
Grass Lake, MI 49240-9213
Phone (517) 205-2525
Hospital & facility affiliations
- Elara Caring
- Henry Ford Allegiance Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230315000155 | MI | Practitioner - Family Practice | 6103159876 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301508724 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wa Foote Memorial Hospital Inc | Family Medicine | Current |
Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Current |
Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| W. a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Past | Accepting new patients |
Locations
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892
12369 E Michigan Ave
Grass Lake, MI 49240
Phone (517) 205-2525
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
Interoperability endpoints
- lsibeck859090@direct.hfhs.org
- lsibeck228646@direct.metrohealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301508724 | MI | Yes |
Addresses
Primary practice location
12369 E Michigan Ave
Grass Lake, MI 49240-9213
Mailing address
12369 E Michigan Ave
Grass Lake, MI 49240-9213
Phone (517) 205-2525
Other providers in Grass Lake, MI
- Rachel Rice
- Sandra R Richards
- Jayna Lynn Sharpley
- Elizabeth Ann Shea
- Ian Shepstone
- Thomas Ronald Snider
- Sally A. Stommen
- Lynn D Szeles
- The Right Step Therapy Services LLC
- W. a. Foote Memorial Hospital, Inc
All providers in Grass Lake, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.