Spencer Bruce Hegerhorst, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Pueblo, Colorado. His current practice location is
902 Lakeview Ave, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 557-5872.
Spencer Bruce Hegerhorst is licensed to practice in Colorado (license number TL.0009167) 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 1093465692.
Physician's Profile
Full Name | Spencer Bruce Hegerhorst |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 902 Lakeview Ave, Pueblo, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093465692
- Provider Enumeration Date: 03/25/2022
- Last Update Date: 07/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 4385024710
- Enrollment ID: I20220701001715
Medical Identifiers
Medical identifiers for Spencer Bruce Hegerhorst such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093465692 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | PENDING (Colorado) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | TL.0009167 (Colorado) | Primary |
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. Spencer Bruce Hegerhorst 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 |
Spencer Bruce Hegerhorst, DO 1085 S Bluff St, Santaquin, UT 84655-8337 Ph: (503) 593-8276 | Spencer Bruce Hegerhorst, DO 902 Lakeview Ave, Pueblo, CO 81004-3597 Ph: (719) 557-5872 |
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