Mr Spencer Emerson Deros, PA-C is a medicare enrolled "Internal Medicine" in Watertown, Connecticut. His current practice location is
595 Straits Tpke, Watertown, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(844) 482-7285.
Mr Spencer Emerson Deros is licensed to practice in Connecticut (license number 5918) 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 1841915394.
Provider's Profile
Full Name | Mr Spencer Emerson Deros |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 595 Straits Tpke, Watertown, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841915394
- Provider Enumeration Date: 10/06/2022
- Last Update Date: 08/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284006115
- Enrollment ID: I20230202000933
Medical Identifiers
Medical identifiers for Mr Spencer Emerson Deros such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841915394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 5918 (Connecticut) | Secondary |
207R00000X | Internal Medicine | 5918 (Connecticut) | 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. Mr Spencer Emerson Deros 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 Spencer Emerson Deros, PA-C 22 Lisbon St, Watertown, CT 06795-2669 Ph: (860) 274-6653 | Mr Spencer Emerson Deros, PA-C 595 Straits Tpke, Watertown, CT 06795-3393 Ph: (844) 482-7285 |
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