Taylor Brooke Spruell, PA is a medicare enrolled "Physician Assistant" in Lake St Louis, Missouri. Her current practice location is
100 Medical Plz, Lake St Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 625-5200.
Taylor Brooke Spruell is licensed to practice in Missouri (license number 2022049204) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558079186.
Provider's Profile
Full Name | Taylor Brooke Spruell |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 100 Medical Plz, Lake St Louis, Missouri |
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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: 1558079186
- Provider Enumeration Date: 11/14/2022
- Last Update Date: 01/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 6406226380
- Enrollment ID: I20230111000208
Medical Identifiers
Medical identifiers for Taylor Brooke Spruell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558079186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 2022049204 (Missouri) | 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. Taylor Brooke Spruell 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 |
Taylor Brooke Spruell, PA 2348 Stonehouse Rd, De Soto, MO 63020-5701 Ph: () - | Taylor Brooke Spruell, PA 100 Medical Plz, Lake St Louis, MO 63367-1366 Ph: (636) 625-5200 |
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