Dr Spencer John Robertson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Burley, Idaho. He went to Saint Louis University School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Intermountain Healthcare Services, Inc, Intermountain Healthcare Services, Inc and his current practice location is
1501 Hiland Ave, Burley, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 678-4444.
Dr Spencer John Robertson is licensed to practice in Idaho (license number M-10706) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225172661.
Physician's Profile
| Full Name | Dr Spencer John Robertson |
|---|
| Gender | Male |
|---|
| Speciality | Diagnostic Radiology |
|---|
| Experience | 20 Years |
|---|
| Location | 1501 Hiland Ave, Burley, Idaho |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Spencer John Robertson attended and graduated from Saint Louis University School Of Medicine in 2004
NPI Data:
- NPI Number: 1225172661
- Provider Enumeration Date: 02/19/2007
- Last Update Date: 03/14/2013
Medicare PECOS Information:
- PECOS PAC ID: 5193828747
- Enrollment ID: I20090812000431
Medical Identifiers
Medical identifiers for Dr Spencer John Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225172661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD430572 (Pennsylvania) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | M-10706 (Idaho) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 7345497-1205 (Utah) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
| Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
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 Spencer John Robertson allows following entities to bill medicare on his behalf.
| Entity Name | Ihc Health Services Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1710156922
PECOS PAC ID: 1850209420
Enrollment ID: O20040325001015 |
|---|
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 Spencer John Robertson 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 |
|---|
Dr Spencer John Robertson, MD
5444 Green St,
Murray, UT 84123-5632
Ph: (801) 262-8120 | Dr Spencer John Robertson, MD
1501 Hiland Ave,
Burley, ID 83318-2682
Ph: (208) 678-4444 |
Reviews and Comments