Seth Cannon Spencer, MD in Ammon, ID - Medicare Pediatrics

Seth Cannon Spencer, MD is a medicare enrolled "Pediatrics" physician in Ammon, Idaho. His current practice location is 3067 Eagle Dr, Ammon, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 522-4600.

Seth Cannon Spencer is licensed to practice in Idaho (license number M-17257) 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 1710505060.

Contact Information

	Seth Cannon Spencer, MD
	3067 Eagle Dr, Ammon, ID 83406-1273
	(208) 522-4600
	Not Available

Physician's Profile

Full Name	Seth Cannon Spencer
Gender	Male
Speciality	Pediatrics
Location	3067 Eagle Dr, Ammon, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710505060
Provider Enumeration Date: 07/13/2020
Last Update Date: 02/23/2024

Medicare PECOS Information:

PECOS PAC ID: 2567861321
Enrollment ID: I20210527000606

Medical Identifiers

Medical identifiers for Seth Cannon Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710505060	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	M-17257 (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. Seth Cannon Spencer 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
Seth Cannon Spencer, MD 3067 Eagle Dr, Ammon, ID 83406-1273 Ph: (208) 522-4600	Seth Cannon Spencer, MD 3067 Eagle Dr, Ammon, ID 83406-1273 Ph: (208) 522-4600

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Pediatrics Doctors in Ammon, ID

Dr. Scott Alan Smith, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3067 Eagle Dr, Ammon, ID 83406 Phone: 208-522-4600 Fax: 208-552-7521
Dr. Mitchael Conrad Steorts, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3067 Eagle Dr, Ammon, ID 83406 Phone: 208-522-4600 Fax: 208-552-7521
Morgan Melton, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3067 Eagle Dr, Ammon, ID 83406 Phone: 208-522-4600
Carol Klett Vance, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1619 Curlew Dr Ste 6, Ammon, ID 83406 Phone: 208-523-4688 Fax: 208-523-4990
Dr. Jeffrey Webb, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3067 Eagle Dr, Ammon, ID 83406 Phone: 208-522-4600 Fax: 208-552-7521
Dr. Joseph Reed Moore, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3067 Eagle Dr, Ammon, ID 83406 Phone: 208-522-4600 Fax: 208-552-7521

Seth Cannon Spencer, MD - Medicare Pediatrics in Ammon, ID