Mr Ralph Douglas Spafford, PA-C in O Fallon, IL

Mr Ralph Douglas Spafford, PA-C is a medicare enrolled "Physician Assistant - Medical" in O Fallon, Illinois. His current practice location is 916 Talon Dr, Suite 102, O Fallon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 628-8211.

Mr Ralph Douglas Spafford is licensed to practice in Missouri (license number 117199) 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 1043446008.

Contact Information

	Mr Ralph Douglas Spafford, PA-C
	916 Talon Dr, Suite 102, O Fallon, IL 62269-1848
	(618) 628-8211
	(618) 628-0883

Map and Direction

Provider's Profile

Full Name	Mr Ralph Douglas Spafford
Gender	Male
Speciality	Physician Assistant - Medical
Location	916 Talon Dr, O Fallon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043446008
Provider Enumeration Date: 06/04/2009
Last Update Date: 03/14/2012

Medicare PECOS Information:

PECOS PAC ID: 2466508957
Enrollment ID: I20090924000673

Medical Identifiers

Medical identifiers for Mr Ralph Douglas Spafford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043446008	NPI	-	NPPES
1811940893	Other	IL	TRICARE
1811940893	Other	IL	AETNA
1811940893	Other	IL	HEALTHLINK
1811940893	Other	IL	CIGNA
1811940893	Other	IL	UHC
1811940893	Other	IL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	117199 (Missouri)	Primary
363AM0700X	Physician Assistant - Medical	385000318 (Illinois)	Secondary

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 Ralph Douglas Spafford 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 Ralph Douglas Spafford, PA-C 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 Ph: (618) 628-8211	Mr Ralph Douglas Spafford, PA-C 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 Ph: (618) 628-8211

Reviews and Comments

Physician Assistant Nurses in O Fallon, IL

Amanda Monteleone, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269 Phone: 618-233-6044 Fax: 833-973-4218
Gregory Scott Churchill, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 310 N 7 Hills Rd, O Fallon, IL 62269 Phone: 618-624-6181 Fax: 618-624-7172
Ms. Lucy Elliott, MMS, PA-C, ATC. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 310 N 7 Hills Rd Ste 220, O Fallon, IL 62269 Phone: 618-624-6181
Michael J Hohm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 670 Pierce Blvd, O Fallon, IL 62269 Phone: 618-206-2094 Fax: 618-607-5127
Lawrence J. Barnes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-641-5803 Fax: 618-607-5116
Megan N. Lanter, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-233-6044

Mr Ralph Douglas Spafford, PA-C - Medicare Physician Assistant in O Fallon, IL