Dr Angela J Spray, MD - Medicare Dermatology in O Fallon, MO

Dr Angela J Spray, MD is a medicare enrolled "Dermatology" physician in O Fallon, Missouri. She went to Saint Louis University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice O'fallon Dermatology Specialists, P.c. and her current practice location is 7136 S Outer Road 364, O Fallon, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 561-3277.

Dr Angela J Spray is licensed to practice in Missouri (license number 2004004910) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477599884.

Contact Information

Dr Angela J Spray, MD
7136 S Outer Road 364,
O Fallon, MO 63368-7756
(636) 561-3277
(636) 561-5280



Physician's Profile

Full NameDr Angela J Spray
GenderFemale
SpecialityDermatology
Experience24 Years
Location7136 S Outer Road 364, O Fallon, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Angela J Spray attended and graduated from Saint Louis University School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1477599884
  • Provider Enumeration Date: 06/22/2006
  • Last Update Date: 01/11/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7618932955
  • Enrollment ID: I20041129000105

Medical Identifiers

Medical identifiers for Dr Angela J Spray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477599884NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 2004004910 (Missouri)Primary
207NS0135XDermatology - Procedural Dermatology 2004004910 (Missouri)Secondary
207NP0225XDermatology - Pediatric Dermatology 2004004910 (Missouri)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
O'fallon Dermatology Specialists, P.c.87290439484

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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. Dr Angela J Spray allows following entities to bill medicare on her behalf.
Entity NameO'fallon Dermatology Specialists, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255468906
PECOS PAC ID: 8729043948
Enrollment ID: O20041129000862

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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. Dr Angela J Spray 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
Dr Angela J Spray, MD
7136 S Outer Road 364,
O Fallon, MO 63368-7756

Ph: (636) 561-3277
Dr Angela J Spray, MD
7136 S Outer Road 364,
O Fallon, MO 63368-7756

Ph: (636) 561-3277

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Dermatology Doctors in O Fallon, MO

Dr. Deana Lyn Kadyk, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 9209 Phoenix Village Pkwy, O Fallon, MO 63368
Phone: 636-561-4613    Fax: 636-561-4610
Robyn Michelle Fanderclai, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 9209 Phoenix Village Pkwy, O Fallon, MO 63368
Phone: 636-561-4613    Fax: 636-561-4610
Rachel Marie Qualley, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 9209 Phoenix Village Pkwy, O Fallon, MO 63368
Phone: 636-561-4613    Fax: 636-561-4610

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