Spencer Cross, is a
Student In An Organized Health Care Education/training Program based in Rancho Mirage, California. Spencer Cross is licensed to practice in * (Not Available) (license number ) and his current practice location is
34275 Monterey Ave, Rancho Mirage, California. He can be reached at his office (for appointments etc.) via phone at
(442) 305-7701.
NPI number for Spencer Cross is 1215707757 and his current mailing address is 80175 Avenue 52 Apt 711, La Quinta, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215707757.
Provider's Profile
| Full Name | Spencer Cross |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 34275 Monterey Ave, Rancho Mirage, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1215707757
- Provider Enumeration Date: 01/05/2024
- Last Update Date: 01/30/2025
Medical Identifiers
Medical identifiers for Spencer Cross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215707757 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 725209 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Cross 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 |
|---|
Spencer Cross,
80175 Avenue 52 Apt 711,
La Quinta, CA 92253-7951
Ph: () - | Spencer Cross,
34275 Monterey Ave,
Rancho Mirage, CA 92270-2701
Ph: (442) 305-7701 |
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