Michael L Spear, MD - Medicare Pediatrics in Newark, DE

Michael L Spear, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Newark, Delaware. His current practice location is 4745 Ogletown Stanton Rd, Medical Arts Pavilion One Suite 217, Newark, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 733-2374.

Michael L Spear is licensed to practice in Delaware (license number C10002449) 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 1639107493.

Contact Information

Michael L Spear, MD
4745 Ogletown Stanton Rd, Medical Arts Pavilion One Suite 217,
Newark, DE 19713-2067
(302) 733-2374
(302) 733-2602

Map and Direction




Physician's Profile

Full NameMichael L Spear
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location4745 Ogletown Stanton Rd, Newark, Delaware
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639107493
  • Provider Enumeration Date: 06/29/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5395051437
  • Enrollment ID: I20150903001261

Medical Identifiers

Medical identifiers for Michael L Spear such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639107493NPI-NPPES
0000059101MedicaidDE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine C10002449 (Delaware)Primary

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. Michael L Spear allows following entities to bill medicare on his behalf.
Entity NameSchc Pediatric Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255363578
PECOS PAC ID: 0648179432
Enrollment ID: O20040226000401

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. Michael L Spear 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 AddressPractice Location Address
Michael L Spear, MD
4745 Ogletown Stanton Rd, Medical Arts Pavilion One Suite 217,
Newark, DE 19713-2067

Ph: (302) 733-2374
Michael L Spear, MD
4745 Ogletown Stanton Rd, Medical Arts Pavilion One Suite 217,
Newark, DE 19713-2067

Ph: (302) 733-2374

Reviews and Comments


Pediatrics Doctors in Newark, DE

Dr. Tracey A. Henderson, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4755 Ogletown-stanton Road, Map 1, Suite 116, Newark, DE 19718
Phone: 302-733-4200    Fax: 302-733-2711
Dr. Anna Kolano, D.O.
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Medicare: Not Enrolled in Medicare
Practice Location: Nemours Pediatrics Peoples Plaza, 1400 Peoples Plaza Suite 300, Newark, DE 19702
Phone: 302-836-7820    Fax: 302-836-7826
Dr. Ann Marie Masciantonio, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4735 Ogletown Stanton Rd, M.a.p. #2, Suite 1116, Newark, DE 19713
Phone: 302-368-8653    Fax: 302-368-8836
Angelica Christine Gangemi-hanninen, MD
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Medicare: Medicare Enrolled
Practice Location: 4735 Ogletown Stanton Rd Ste 1250, Newark, DE 19713
Phone: 302-623-0200    
Robert G Locke, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4745 Ogletown Stanton Rd, Suite 217 Medical Arts Pavilion One, Newark, DE 19713
Phone: 302-733-2374    Fax: 302-733-2602
Anna P. Nadhan, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4735 Ogletown Stanton Rd Ste 1116, Newark, DE 19713
Phone: 302-368-8612    Fax: 302-368-4384
Devin Marie Sullivan, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4735 Ogletown Stanton Rd Ste 1250, Newark, DE 19713
Phone: 302-623-0200    Fax: 302-623-0117

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.