Spenser Dauwalder, in Goodyear, AZ - Medicare Nurse Practitioner

Spenser Dauwalder, is a medicare enrolled "Nurse Practitioner - Acute Care" in Goodyear, Arizona. His current practice location is 3072 N 143rd Ln, Goodyear, Arizona. You can reach out to his office (for appointments etc.) via phone at (801) 815-6349.

Spenser Dauwalder is licensed to practice in Arizona (license number 301168) 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 1073381687.

Contact Information

	Spenser Dauwalder,
	3072 N 143rd Ln, Goodyear, AZ 85395-8368
	(801) 815-6349
	Not Available

Map and Direction

Provider's Profile

Full Name	Spenser Dauwalder
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	3072 N 143rd Ln, Goodyear, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073381687
Provider Enumeration Date: 12/13/2023
Last Update Date: 12/13/2023

Medicare PECOS Information:

PECOS PAC ID: 6901248681
Enrollment ID: I20240529003982

Medical Identifiers

Medical identifiers for Spenser Dauwalder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073381687	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	301168 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Spenser Dauwalder allows following entities to bill medicare on his behalf.

Entity Name	District Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583

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. Spenser Dauwalder 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
Spenser Dauwalder, 3072 N 143rd Ln, Goodyear, AZ 85395-8368 Ph: () -	Spenser Dauwalder, 3072 N 143rd Ln, Goodyear, AZ 85395-8368 Ph: (801) 815-6349

Reviews and Comments

Nurse Practitioner Nurses in Goodyear, AZ

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Spenser Dauwalder, - Medicare Nurse Practitioner in Goodyear, AZ