Spencer Alexander Marrero, DDS - Medicare Dentist in Beaverton, OR

Spencer Alexander Marrero, DDS is a medicare enrolled "Dentist - General Practice" provider in Beaverton, Oregon. His current practice location is 16400 Sw Hart Rd, Suite A, Beaverton, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 649-7701.

Spencer Alexander Marrero is licensed to practice in Oregon (license number D6089) 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 1194928390.

Contact Information

Spencer Alexander Marrero, DDS
16400 Sw Hart Rd, Suite A,
Beaverton, OR 97007-3457
(503) 649-7701
Not Available



Healthcare Provider's Profile

Full NameSpencer Alexander Marrero
GenderMale
SpecialityDentist - General Practice
Location16400 Sw Hart Rd, Beaverton, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194928390
  • Provider Enumeration Date: 06/06/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4385949007
  • Enrollment ID: I20160217002314

Medical Identifiers

Medical identifiers for Spencer Alexander Marrero such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194928390NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D6089 (Oregon)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 Alexander Marrero 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 AddressPractice Location Address
Spencer Alexander Marrero, DDS
16400 Sw Hart Rd, Suite A,
Beaverton, OR 97007-3457

Ph: (503) 649-7701
Spencer Alexander Marrero, DDS
16400 Sw Hart Rd, Suite A,
Beaverton, OR 97007-3457

Ph: (503) 649-7701

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Dentist in Beaverton, OR

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Dr. Susan Jane Antony, DDS
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