Dr Angela J Spray, MD is a medicare enrolled "Dermatology" physician in O Fallon, Missouri. She went to Saint Louis University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice O'fallon Dermatology Specialists, P.c. and her current practice location is
7136 S Outer Road 364, O Fallon, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 561-3277.
Dr Angela J Spray is licensed to practice in Missouri (license number 2004004910) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477599884.
Physician's Profile
| Full Name | Dr Angela J Spray |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 24 Years |
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| Location | 7136 S Outer Road 364, O Fallon, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Angela J Spray attended and graduated from Saint Louis University School Of Medicine in 2000
NPI Data:
- NPI Number: 1477599884
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 01/11/2013
Medicare PECOS Information:
- PECOS PAC ID: 7618932955
- Enrollment ID: I20041129000105
Medical Identifiers
Medical identifiers for Dr Angela J Spray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477599884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 2004004910 (Missouri) | Primary |
| 207NS0135X | Dermatology - Procedural Dermatology | 2004004910 (Missouri) | Secondary |
| 207NP0225X | Dermatology - Pediatric Dermatology | 2004004910 (Missouri) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| O'fallon Dermatology Specialists, P.c. | 8729043948 | 3 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Angela J Spray allows following entities to bill medicare on her behalf.
| Entity Name | O'fallon Dermatology Specialists, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255468906
PECOS PAC ID: 8729043948
Enrollment ID: O20041129000862 |
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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. Dr Angela J Spray 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 |
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Dr Angela J Spray, MD
7136 S Outer Road 364,
O Fallon, MO 63368-7756
Ph: (636) 561-3277 | Dr Angela J Spray, MD
7136 S Outer Road 364,
O Fallon, MO 63368-7756
Ph: (636) 561-3277 |
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