Mrs Haverly Gracen Spence, PA-C is a
Physician Assistant based in Decatur, Tennessee. Mrs Haverly Gracen Spence is licensed to practice in Tennessee (license number 5985) and her current practice location is
6633 Espalier Dr, Decatur, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 863-7335.
NPI number for Mrs Haverly Gracen Spence is 1982450326 and her current mailing address is 6633 Espalier Dr, Decatur, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982450326.
Provider's Profile
Full Name | Mrs Haverly Gracen Spence |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 6633 Espalier Dr, Decatur, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982450326
- Provider Enumeration Date: 04/26/2024
- Last Update Date: 06/10/2024
Medical Identifiers
Medical identifiers for Mrs Haverly Gracen Spence such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982450326 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 5985 (Tennessee) | 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. Mrs Haverly Gracen Spence is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Haverly Gracen Spence, PA-C 6633 Espalier Dr, Decatur, TN 37322-7899 Ph: (423) 863-7335 | Mrs Haverly Gracen Spence, PA-C 6633 Espalier Dr, Decatur, TN 37322-7899 Ph: (423) 863-7335 |
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