Jeffrey Spencer, MD | |
3085 Harlem Rd Ste 200, Cheektowaga, NY 14225-2591 | |
(716) 844-5600 | |
(716) 844-5750 |
Full Name | Jeffrey Spencer |
---|---|
Gender | Male |
Speciality | Urology |
Location | 3085 Harlem Rd Ste 200, Cheektowaga, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861802373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | ME152180 (Florida) | Secondary |
208800000X | Urology | 297632 (New York) | Primary |
Entity Name | Erie County Medical Center Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528233616 PECOS PAC ID: 1456308907 Enrollment ID: O20050715000538 |
Entity Name | Great Lakes Physician Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659310092 PECOS PAC ID: 9133434269 Enrollment ID: O20150818004788 |
Entity Name | Harlem Road Ambulatory Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1588328918 PECOS PAC ID: 7810388238 Enrollment ID: O20211220000734 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Spencer, MD 3085 Harlem Rd Ste 350, Cheektowaga, NY 14225-2591 Ph: (716) 844-5600 | Jeffrey Spencer, MD 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225-2591 Ph: (716) 844-5600 |
Gina Nicole Tundo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 | |
Karl-dietrich Max Gustav Sievert, Urology Medicare: Not Enrolled in Medicare Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 | |
Dr. John Joseph Bodkin Iii, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5050 | |
Brian F Dinerman, MD Urology Medicare: Medicare Enrolled Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 | |
Kevin J Barlog, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3085 Harlem Rd, Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5050 | |
Dr. K Kent Chevli, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3085 Harlem Rd, Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5050 | |
Max John Roehmholdt, MD Urology Medicare: Medicare Enrolled Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 |