Spencer Jeffrey Jude, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Grove City, Ohio. His current practice location is
5300 N Meadows Dr, Grove City, Ohio. You can reach out to his office (for appointments etc.) via phone at
(614) 663-4550.
Spencer Jeffrey Jude is licensed to practice in Ohio (license number ) 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 1548965502.
Physician's Profile
| Full Name | Spencer Jeffrey Jude |
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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 | 5300 N Meadows Dr, Grove City, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548965502
- Provider Enumeration Date: 03/31/2023
- Last Update Date: 04/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830558782
- Enrollment ID: I20230710003008
Medical Identifiers
Medical identifiers for Spencer Jeffrey Jude such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548965502 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 11023224A (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Ohio) | 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 Jeffrey Jude 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 Jeffrey Jude,
5300 N Meadows Dr,
Grove City, OH 43123-2546
Ph: (614) 663-4550 | Spencer Jeffrey Jude,
5300 N Meadows Dr,
Grove City, OH 43123-2546
Ph: (614) 663-4550 |
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