Stephen A Spencer, MD PA | |
1617 Tamiami Trl, Port Charlotte, FL 33948-1040 | |
(941) 613-2400 | |
Not Available |
Full Name | Stephen A Spencer |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 42 Years |
Location | 1617 Tamiami Trl, Port Charlotte, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104814235 | NPI | - | NPPES |
5872736 | Other | FL | AETNA |
08153 | Other | FL | BLUE CROSS/BLUE SHIELD |
6417334 | Other | FL | CIGNA |
1255052 | Other | FL | UHC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | ME0047672 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Leavitt Medical Associates Of Florida Inc | 4688579311 | 172 |
Entity Name | Leavitt Medical Associates Of Florida Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083872535 PECOS PAC ID: 4688579311 Enrollment ID: O20050228000737 |
Mailing Address | Practice Location Address |
---|---|
Stephen A Spencer, MD PA 151 Southhall Ln, Ste 300, Maitland, FL 32751-7172 Ph: (407) 875-2080 | Stephen A Spencer, MD PA 1617 Tamiami Trl, Port Charlotte, FL 33948-1040 Ph: (941) 613-2400 |
Bernice Baroudi, DO Dermatology Medicare: Medicare Enrolled Practice Location: 3222 Tamiami Trl, Port Charlotte, FL 33952 Phone: 941-627-5155 | |
Dr. Alexander Herbst, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2866 Tamiami Trl Ste A, Port Charlotte, FL 33952 Phone: 941-764-1055 Fax: 941-764-7984 | |
Manuel Hector Hernandez, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2484 Caring Way, Suite C, Port Charlotte, FL 33952 Phone: 941-764-7773 | |
Ms. Laini Rae Gaar, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1617 Tamiami Trl, Port Charlotte, FL 33948 Phone: 941-613-2400 Fax: 941-613-2401 | |
Dr. Jay S. Herbst, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2866 Tamiami Trl Ste A, Port Charlotte, FL 33952 Phone: 941-764-1055 Fax: 941-764-7984 |