Spencer William Esplin, PA-S is a medicare enrolled "Physician Assistant" in Shelley, Idaho. His current practice location is
1114 N 1200 E, Shelley, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 656-3454.
Spencer William Esplin is licensed to practice in Idaho (license number PA-2361) 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 1225768336.
Provider's Profile
Full Name | Spencer William Esplin |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1114 N 1200 E, Shelley, Idaho |
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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: 1225768336
- Provider Enumeration Date: 06/13/2022
- Last Update Date: 10/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 6305217555
- Enrollment ID: I20230125003204
Medical Identifiers
Medical identifiers for Spencer William Esplin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225768336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA-2361 (Idaho) | 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 William Esplin 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 |
Spencer William Esplin, PA-S 1114 N 1200 E, Shelley, ID 83274-5327 Ph: (208) 656-3454 | Spencer William Esplin, PA-S 1114 N 1200 E, Shelley, ID 83274-5327 Ph: (208) 656-3454 |
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