Mr Keith Ig Spooner, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Cleveland, Texas. His current practice location is
117 S William Barnett Ave, Suite A, Cleveland, Texas. You can reach out to his office (for appointments etc.) via phone at
(281) 593-1660.
Mr Keith Ig Spooner is licensed to practice in Texas (license number G2229) 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 1821171166.
Physician's Profile
| Full Name | Mr Keith Ig Spooner |
|---|
| Gender | Male |
|---|
| Speciality | Obstetrics & Gynecology |
|---|
| Location | 117 S William Barnett Ave, Cleveland, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1821171166
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 06/27/2011
Medicare PECOS Information:
- PECOS PAC ID: 1759371099
- Enrollment ID: I20100825001148
Medical Identifiers
Medical identifiers for Mr Keith Ig Spooner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821171166 | NPI | - | NPPES |
| 0948168 | Other | TX | AETNA |
| 76-0309941 | Other | TX | UNITED HEALTHCARE |
| 8A6479 | Other | TX | BLUE CROSS BLUE SHEILD |
| 159830201 | Medicaid | TX | |
| 63701476 | Other | TX | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | G2229 (Texas) | 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. Mr Keith Ig Spooner allows following entities to bill medicare on his behalf.
| Entity Name | Calvary Medical Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1265568042
PECOS PAC ID: 7719876218
Enrollment ID: O20040312000719 |
|---|
| Entity Name | Pediatrix Medical Group Of Texas Billing Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1649377359
PECOS PAC ID: 0042283921
Enrollment ID: O20110907001264 |
|---|
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. Mr Keith Ig Spooner 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 |
|---|
Mr Keith Ig Spooner, MD
108 S William Barnett Ave, Suite A,
Cleveland, TX 77327-4542
Ph: (281) 659-2355 | Mr Keith Ig Spooner, MD
117 S William Barnett Ave, Suite A,
Cleveland, TX 77327-4542
Ph: (281) 593-1660 |
Reviews and Comments