Spencer Merrick, MD is a medicare enrolled "Pediatrics" provider in Salt Lake City, Utah. His current practice location is
81 N Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 581-2121.
Spencer Merrick is licensed to practice in Utah (license number 11149880-1205) 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 1568760023.
Healthcare Provider's Profile
Full Name | Spencer Merrick |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 81 N Mario Capecchi Dr, Salt Lake City, Utah |
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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: 1568760023
- Provider Enumeration Date: 03/08/2011
- Last Update Date: 02/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 9234478645
- Enrollment ID: I20190301001903
Medical Identifiers
Medical identifiers for Spencer Merrick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568760023 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
208000000X | Pediatrics | 11149880-1205 (Utah) | 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. Spencer Merrick 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 |
Spencer Merrick, MD 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 Ph: (801) 581-2121 | Spencer Merrick, MD 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 Ph: (801) 581-2121 |
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