Spenser Ryan Squire, MD in Draper, UT - Medicare Family Medicine

Spenser Ryan Squire, MD is a medicare enrolled "Family Medicine" physician in Draper, Utah. His current practice location is 12473 S Minuteman Dr, Draper, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 495-7910.

Spenser Ryan Squire is licensed to practice in Utah (license number 12767284-1205) 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 1851854897.

Contact Information

	Spenser Ryan Squire, MD
	12473 S Minuteman Dr, Draper, UT 84020-7870
	(801) 495-7910
	(801) 495-7990

Map and Direction

Physician's Profile

Full Name	Spenser Ryan Squire
Gender	Male
Speciality	Family Medicine
Location	12473 S Minuteman Dr, Draper, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851854897
Provider Enumeration Date: 04/08/2019
Last Update Date: 07/23/2024

Medicare PECOS Information:

PECOS PAC ID: 9335477710
Enrollment ID: I20221216002672

Medical Identifiers

Medical identifiers for Spenser Ryan Squire such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851854897	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	12767284-1205 (Utah)	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. Spenser Ryan Squire allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Spenser Ryan Squire 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
Spenser Ryan Squire, MD 12473 S Minuteman Dr, Draper, UT 84020-7870 Ph: (801) 495-7910	Spenser Ryan Squire, MD 12473 S Minuteman Dr, Draper, UT 84020-7870 Ph: (801) 495-7910

Reviews and Comments

Family Medicine Doctors in Draper, UT

Rachel Jane Richard, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12176 S 1000 E Ste 4, Draper, UT 84020 Phone: 801-572-3750
Dr. Gordon Thier Oremland, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12422 S 450 E, Draper, UT 84020 Phone: 801-748-1600 Fax: 801-748-1601
Geoffrey Thomas Osmond, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 11760 S 700 E Ste 112, Draper, UT 84020 Phone: 801-572-1186
Dr. Robert D Williams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-965-3600
Jessica Wilkinson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13953 S Bangerter Pkwy, Draper, UT 84020 Phone: 385-900-4090 Fax: 801-365-1033
Daniel Trevor Young, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 74 E Kimballs Ln Ste 300, Draper, UT 84020 Phone: 801-572-0311
Harold N Gooch, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12176 South 1000 East, Draper, UT 84020 Phone: 801-572-3750 Fax: 801-572-1097

Spenser Ryan Squire, MD - Medicare Family Medicine in Draper, UT